33D1046471 CLIA NUMBER - UNIVERSAL PEDIATRICS JOSE MENDEZ MD & MARIA PATRON MD

Laboratory Demographics

  • CLIA Code: 33D1046471
  • Facility Name: UNIVERSAL PEDIATRICS JOSE MENDEZ MD & MARIA PATRON MD
  • Facility Address: 79-02 ROOSEVELT AVENUE
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 779-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE M. MENDEZ MD
  • NPI Number: 1548428741
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1046471
LAB Type Physician Office
Facility Name UNIVERSAL PEDIATRICS JOSE MENDEZ MD & MARIA PATRON MD
Street 79-02 ROOSEVELT AVENUE
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 779-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director JOSE M. MENDEZ MD

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