33D1043245 CLIA NUMBER - MYO THANT MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1043245
  • Facility Name: MYO THANT MD PLLC
  • Facility Address: 86-05 51ST AVENUE
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 361-6038
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MYO THANT
  • NPI Number: 1689671851
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1043245
LAB Type Physician Office
Facility Name MYO THANT MD PLLC
Street 86-05 51ST AVENUE
City ELMHURST
State NY
ZIP 11373
Phone 718 361-6038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director DR. MYO THANT

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