33D1022906 CLIA NUMBER - TJH MEDICAL SERIVCES PC LIBERTY AVE OFFICE

Laboratory Demographics

  • CLIA Code: 33D1022906
  • Facility Name: TJH MEDICAL SERIVCES PC LIBERTY AVE OFFICE
  • Facility Address: 129-01 LIBERTY AVE
    RICHMOND HILL, NY
    ZIP 11418
  • Facility Phone: 718 738-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAVICHAND OODAL
  • NPI Number: 1184670465
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1022906
LAB Type Physician Office
Facility Name TJH MEDICAL SERIVCES PC LIBERTY AVE OFFICE
Street 129-01 LIBERTY AVE
City RICHMOND HILL
State NY
ZIP 11418
Phone 718 738-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director DR. RAVICHAND OODAL

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