33D1010012 CLIA NUMBER - MARINA PODVAL MD

Laboratory Demographics

  • CLIA Code: 33D1010012
  • Facility Name: MARINA PODVAL MD
  • Facility Address: 4332 KISSENA BLVD SUITE LA
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 939-0609
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARINA PODVAL
  • NPI Number: 1982717237
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1010012
LAB Type Physician Office
Facility Name MARINA PODVAL MD
Street 4332 KISSENA BLVD SUITE LA
City FLUSHING
State NY
ZIP 11355
Phone 718 939-0609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DR. MARINA PODVAL

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