33D0998139 CLIA NUMBER - INDO-AMERICAN PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D0998139
  • Facility Name: INDO-AMERICAN PEDIATRICS PC
  • Facility Address: 80-20 BROADWAY SUITE 1F
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 397-7992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QURRATH U. AIN
  • NPI Number: 1073888954
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D0998139
LAB Type Physician Office
Facility Name INDO-AMERICAN PEDIATRICS PC
Street 80-20 BROADWAY SUITE 1F
City ELMHURST
State NY
ZIP 11373
Phone 718 397-7992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director QURRATH U. AIN

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