33D1021087 CLIA NUMBER - ILYA VAYNER MD

Laboratory Demographics

  • CLIA Code: 33D1021087
  • Facility Name: ILYA VAYNER MD
  • Facility Address: 3767 RICHMOND AVE 1ST FLOOR
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 718 966-5777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLIOT I. VAYNER MD
  • NPI Number: 1134221484
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1021087
LAB Type Physician Office
Facility Name ILYA VAYNER MD
Street 3767 RICHMOND AVE 1ST FLOOR
City STATEN ISLAND
State NY
ZIP 10312
Phone 718 966-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director ELLIOT I. VAYNER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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