33D1006585 CLIA NUMBER - INNA KHVAL MD

Laboratory Demographics

  • CLIA Code: 33D1006585
  • Facility Name: INNA KHVAL MD
  • Facility Address: 3090 RICHMOND ROAD
    STATEN ISLAND, NY
    ZIP 10306
  • Facility Phone: 718 351-1949
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. INNA Y. KHVAL
  • NPI Number: 1134150063
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1006585
LAB Type Physician Office
Facility Name INNA KHVAL MD
Street 3090 RICHMOND ROAD
City STATEN ISLAND
State NY
ZIP 10306
Phone 718 351-1949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director DR. INNA Y. KHVAL

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