33D1026993 CLIA NUMBER - TAK CHAN MD, PC

Laboratory Demographics

  • CLIA Code: 33D1026993
  • Facility Name: TAK CHAN MD, PC
  • Facility Address: 133-38 41ST ROAD, SUITE 2C
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 445-7788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAK CHAN
  • NPI Number: 1265437842
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1026993
LAB Type Physician Office
Facility Name TAK CHAN MD, PC
Street 133-38 41ST ROAD, SUITE 2C
City FLUSHING
State NY
ZIP 11355
Phone 718 445-7788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director TAK CHAN

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