33D0991311 CLIA NUMBER - YONKERS FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D0991311
  • Facility Name: YONKERS FAMILY PRACTICE PC
  • Facility Address: 45 LUDLOW STREET, SUITE 700
    YONKERS, NY
    ZIP 10705
  • Facility Phone: 914 375-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALIL I. INNABI
  • NPI Number: 1497944284
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0991311
LAB Type Physician Office
Facility Name YONKERS FAMILY PRACTICE PC
Street 45 LUDLOW STREET, SUITE 700
City YONKERS
State NY
ZIP 10705
Phone 914 375-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director KHALIL I. INNABI

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