33D0877010 CLIA NUMBER - CEDARHURST MEDICAL ASSOC

Laboratory Demographics

  • CLIA Code: 33D0877010
  • Facility Name: CEDARHURST MEDICAL ASSOC
  • Facility Address: 407 BEACH 20TH STREET
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 471-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL T. BEER
  • NPI Number: 1053532234
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0877010
LAB Type Physician Office
Facility Name CEDARHURST MEDICAL ASSOC
Street 407 BEACH 20TH STREET
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 471-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director DANIEL T. BEER

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This page was last updated on: 9/29/2025