33D0942557 CLIA NUMBER - QUEENS-NY MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 33D0942557
  • Facility Name: QUEENS-NY MEDICAL, PC
  • Facility Address: 40-04 BOWNE STREET, SUITE 1I
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 718 539-3359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IDA BRONFMAN
  • NPI Number: 1316077068
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0942557
LAB Type Physician Office
Facility Name QUEENS-NY MEDICAL, PC
Street 40-04 BOWNE STREET, SUITE 1I
City FLUSHING
State NY
ZIP 11354
Phone 718 539-3359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director IDA BRONFMAN

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This page was last updated on: 6/4/2025