33D0960935 CLIA NUMBER - PEDIATRIC FAMILY MD PC

Laboratory Demographics

  • CLIA Code: 33D0960935
  • Facility Name: PEDIATRIC FAMILY MD PC
  • Facility Address: 37-52 82ND STREET - 2ND FLOOR
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 779-5855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HECTOR A. VALENCIA
  • NPI Number: 1104975796
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0960935
LAB Type Physician Office
Facility Name PEDIATRIC FAMILY MD PC
Street 37-52 82ND STREET - 2ND FLOOR
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 779-5855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director DR. HECTOR A. VALENCIA

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