33D1037115 CLIA NUMBER - INTEGRATED MEDICAL PROFESSIONALS, PLLC - OBP 3111

Laboratory Demographics

  • CLIA Code: 33D1037115
  • Facility Name: INTEGRATED MEDICAL PROFESSIONALS, PLLC - OBP 3111
  • Facility Address: 3111 NEW HYDE PARK ROAD
    NEW HYDE PARK, NY
    ZIP 11042
  • Facility Phone: 516 394-9630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANN E. ANDERSON
  • NPI Number: 1073918009
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 33D1037115
LAB Type Physician Office
Facility Name INTEGRATED MEDICAL PROFESSIONALS, PLLC - OBP 3111
Street 3111 NEW HYDE PARK ROAD
City NEW HYDE PARK
State NY
ZIP 11042
Phone 516 394-9630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director DR. ANN E. ANDERSON

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