33D0973890 CLIA NUMBER - 9317 MEDICAL OFFICE PC

Laboratory Demographics

  • CLIA Code: 33D0973890
  • Facility Name: 9317 MEDICAL OFFICE PC
  • Facility Address: 40-08 FORLEY STREET
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 446-0270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALAIN A. SOSA
  • NPI Number: 1871707372
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0973890
LAB Type Physician Office
Facility Name 9317 MEDICAL OFFICE PC
Street 40-08 FORLEY STREET
City ELMHURST
State NY
ZIP 11373
Phone 718 446-0270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director DR. ALAIN A. SOSA

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