33D0990409 CLIA NUMBER - RICHMOND TOTAL MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 33D0990409
  • Facility Name: RICHMOND TOTAL MEDICAL, PC
  • Facility Address: 3000 HYLAN BLVD
    STATEN ISLAND, NY
    ZIP 10306
  • Facility Phone: 718 668-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. MCCARTHY
  • NPI Number: 1730218363
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D0990409
LAB Type Physician Office
Facility Name RICHMOND TOTAL MEDICAL, PC
Street 3000 HYLAN BLVD
City STATEN ISLAND
State NY
ZIP 10306
Phone 718 668-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director JOHN D. MCCARTHY

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