33D1001781 CLIA NUMBER - LUBA V GRINGUT MD

Laboratory Demographics

  • CLIA Code: 33D1001781
  • Facility Name: LUBA V GRINGUT MD
  • Facility Address: 661 BARCLAY AVE
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 718 984-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUBA V. GRINGUT
  • NPI Number: 1851498505
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1001781
LAB Type Physician Office
Facility Name LUBA V GRINGUT MD
Street 661 BARCLAY AVE
City STATEN ISLAND
State NY
ZIP 10312
Phone 718 984-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director LUBA V. GRINGUT

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This page was last updated on: 6/4/2025