33D0981091 CLIA NUMBER - CHINATOWN TRUE CARE MEDICAL PLLC DBA RENDR CARE PHYSICIANS

Laboratory Demographics

CLIA Number: 33D0981091

Facility Name: CHINATOWN TRUE CARE MEDICAL PLLC DBA RENDR CARE PHYSICIANS

Facility Address:
42-31 COLDEN STREET, # 205
FLUSHING, NY
ZIP 11355
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Facility Phone Number: 718 961-9593

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023558137

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 33D0981091
LAB Type Physician Office
Facility Name CHINATOWN TRUE CARE MEDICAL PLLC DBA RENDR CARE PHYSICIANS
Street 42-31 COLDEN STREET, # 205
City FLUSHING
State NY
ZIP 11355
Phone 718 961-9593
CertificateType 4
CertificateEffectiveDate 1/5/2023
CertificateExpirationDate 1/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024