33D1012861 CLIA NUMBER - PROCARE MEDICAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D1012861
  • Facility Name: PROCARE MEDICAL SERVICES PC
  • Facility Address: 136-30 MAPLE AVE SUITE 2L
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 888-9202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WAI KUEN LAM
  • NPI Number: 1619053071
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1012861
LAB Type Physician Office
Facility Name PROCARE MEDICAL SERVICES PC
Street 136-30 MAPLE AVE SUITE 2L
City FLUSHING
State NY
ZIP 11355
Phone 718 888-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director DR. WAI KUEN LAM

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