33D1051862 CLIA NUMBER - RRG MEDICAL PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D1051862
  • Facility Name: RRG MEDICAL PRACTICE PC
  • Facility Address: 37-36 90TH STREET, 1ST FLOOR
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 505-0030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAFAEL RODRIGUEZ
  • NPI Number: 1720383714
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1051862
LAB Type Physician Office
Facility Name RRG MEDICAL PRACTICE PC
Street 37-36 90TH STREET, 1ST FLOOR
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 505-0030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director DR. RAFAEL RODRIGUEZ

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