33D1028182 CLIA NUMBER - YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D1028182
  • Facility Name: YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC
  • Facility Address: 34-38 BELL BOULEVARD, PH 5TH FLOOR
    BAYSIDE, NY
    ZIP 11361
  • Facility Phone: 718 360-5768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YEAHSEON BRUININGS
  • NPI Number: 1770580235
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1028182
LAB Type Physician Office
Facility Name YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC
Street 34-38 BELL BOULEVARD, PH 5TH FLOOR
City BAYSIDE
State NY
ZIP 11361
Phone 718 360-5768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director YEAHSEON BRUININGS

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