33D0945372 CLIA NUMBER - QUEENS MEDICAL OFFICE PC

Laboratory Demographics

  • CLIA Code: 33D0945372
  • Facility Name: QUEENS MEDICAL OFFICE PC
  • Facility Address: 40-46 74TH STREET
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 458-1515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALBERTO ROZO
  • NPI Number: 1922017789
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0945372
LAB Type Physician Office
Facility Name QUEENS MEDICAL OFFICE PC
Street 40-46 74TH STREET
City ELMHURST
State NY
ZIP 11373
Phone 718 458-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. ALBERTO ROZO

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