33D1026404 CLIA NUMBER - STELLA ILYAYEVA PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D1026404
  • Facility Name: STELLA ILYAYEVA PHYSICIAN PC
  • Facility Address: 97-25 63RD DRIVE
    REGO PARK, NY
    ZIP 11374
  • Facility Phone: 718 275-2900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STELLA ILYAYEVA
  • NPI Number: 1619082625
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1026404
LAB Type Physician Office
Facility Name STELLA ILYAYEVA PHYSICIAN PC
Street 97-25 63RD DRIVE
City REGO PARK
State NY
ZIP 11374
Phone 718 275-2900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/7/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. STELLA ILYAYEVA

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