33D1005740 CLIA NUMBER - RANDY D MAKOVSKY MD PC

Laboratory Demographics

  • CLIA Code: 33D1005740
  • Facility Name: RANDY D MAKOVSKY MD PC
  • Facility Address: 2001 MARCUS AVENUE, SUITE E 110
    LAKE SUCCESS, NY
    ZIP 11042
  • Facility Phone: 516 482-3530
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LIBO QIU
  • NPI Number: 1801861323
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D1005740
LAB Type Physician Office
Facility Name RANDY D MAKOVSKY MD PC
Street 2001 MARCUS AVENUE, SUITE E 110
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 482-3530
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/6/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. LIBO QIU

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