33D0908039 CLIA NUMBER - TERRACE MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 33D0908039
  • Facility Name: TERRACE MEDICAL, PC
  • Facility Address: 214-06 16TH AVENUE
    BAYSIDE, NY
    ZIP 11360
  • Facility Phone: 718 224-3734
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STUART OKIN
  • NPI Number: 1588850911
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0908039
LAB Type Physician Office
Facility Name TERRACE MEDICAL, PC
Street 214-06 16TH AVENUE
City BAYSIDE
State NY
ZIP 11360
Phone 718 224-3734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director DR. STUART OKIN

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