33D1016931 CLIA NUMBER - WOODHAVEN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1016931
  • Facility Name: WOODHAVEN MEDICAL PC
  • Facility Address: 89-12 WOODHAVEN BOULEVARD
    WOODHAVEN, NY
    ZIP 11421
  • Facility Phone: 718 441-2640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED W. RAHMAN
  • NPI Number: 1609807320
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1016931
LAB Type Physician Office
Facility Name WOODHAVEN MEDICAL PC
Street 89-12 WOODHAVEN BOULEVARD
City WOODHAVEN
State NY
ZIP 11421
Phone 718 441-2640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director SYED W. RAHMAN

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