33D1051863 CLIA NUMBER - ALLIED PHYSICIANS GROUP PLLC WELLCARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D1051863
  • Facility Name: ALLIED PHYSICIANS GROUP PLLC WELLCARE PEDIATRICS
  • Facility Address: 17-20 FRANCIS LEWIS BOULEVARD
    WHITESTONE, NY
    ZIP 11357
  • Facility Phone: 718 939-4379
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IBRAHIM CARVAN
  • NPI Number: 1619415205
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D1051863
LAB Type Physician Office
Facility Name ALLIED PHYSICIANS GROUP PLLC WELLCARE PEDIATRICS
Street 17-20 FRANCIS LEWIS BOULEVARD
City WHITESTONE
State NY
ZIP 11357
Phone 718 939-4379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director DR. IBRAHIM CARVAN

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