33D0967177 CLIA NUMBER - NAUSHIN SIDDIQUI MD JAMAL A SIDDIQUI MD

Laboratory Demographics

  • CLIA Code: 33D0967177
  • Facility Name: NAUSHIN SIDDIQUI MD JAMAL A SIDDIQUI MD
  • Facility Address: 77-29 141 ST
    FLUSHING, NY
    ZIP 11367
  • Facility Phone: 718 380-0810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NAUSHIN SIDDIQUI
  • NPI Number: 1639224561
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0967177
LAB Type Physician Office
Facility Name NAUSHIN SIDDIQUI MD JAMAL A SIDDIQUI MD
Street 77-29 141 ST
City FLUSHING
State NY
ZIP 11367
Phone 718 380-0810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director DR. NAUSHIN SIDDIQUI

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