33D0932403 CLIA NUMBER - LIBERATO SALVATORE MD

Laboratory Demographics

  • CLIA Code: 33D0932403
  • Facility Name: LIBERATO SALVATORE MD
  • Facility Address: 36-35 BELL BOULEVARD SUITE 100
    BAYSIDE, NY
    ZIP 11361
  • Facility Phone: 718 224-2199
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LEILI M. MIRSADRAEI
  • NPI Number: 1164457495
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0932403
LAB Type Physician Office
Facility Name LIBERATO SALVATORE MD
Street 36-35 BELL BOULEVARD SUITE 100
City BAYSIDE
State NY
ZIP 11361
Phone 718 224-2199
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/23/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. LEILI M. MIRSADRAEI

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