33D0994191 CLIA NUMBER - JACQUELINE DELMONT MD PC

Laboratory Demographics

  • CLIA Code: 33D0994191
  • Facility Name: JACQUELINE DELMONT MD PC
  • Facility Address: 1624 CENTRAL AVENUE
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 868-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE DELMONT
  • NPI Number: 1679052575
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 33D0994191
LAB Type Physician Office
Facility Name JACQUELINE DELMONT MD PC
Street 1624 CENTRAL AVENUE
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 868-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director JACQUELINE DELMONT

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