33D0999151 CLIA NUMBER - RENAISSANCE OB/GYN PC

Laboratory Demographics

  • CLIA Code: 33D0999151
  • Facility Name: RENAISSANCE OB/GYN PC
  • Facility Address: 30-80 21ST STREET, MEDICAL SUITE 2
    ASTORIA, NY
    ZIP 11102
  • Facility Phone: 718 626-0887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PERICLES SPYROPOULOS
  • NPI Number: 1487832275
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0999151
LAB Type Physician Office
Facility Name RENAISSANCE OB/GYN PC
Street 30-80 21ST STREET, MEDICAL SUITE 2
City ASTORIA
State NY
ZIP 11102
Phone 718 626-0887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director DR. PERICLES SPYROPOULOS

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