33D1040604 CLIA NUMBER - THOMAS P NOONAN, DEPT OF VETERANS AFFAIRS OUTPATIE

Laboratory Demographics

  • CLIA Code: 33D1040604
  • Facility Name: THOMAS P NOONAN, DEPT OF VETERANS AFFAIRS OUTPATIE
  • Facility Address: 50-05 METROPOLITAN AVENUE
    RIDGEWOOD, NY
    ZIP 11385
  • Facility Phone: 718 741-4800
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: SOFIA KAZI
  • NPI Number: 1013671593
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 33D1040604
LAB Type Community Clinic
Facility Name THOMAS P NOONAN, DEPT OF VETERANS AFFAIRS OUTPATIE
Street 50-05 METROPOLITAN AVENUE
City RIDGEWOOD
State NY
ZIP 11385
Phone 718 741-4800
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/12/2005
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director SOFIA KAZI

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