33D1056542 CLIA NUMBER - OLEG KOTELSKIY DO

Laboratory Demographics

  • CLIA Code: 33D1056542
  • Facility Name: OLEG KOTELSKIY DO
  • Facility Address: 765 HILLCREST PLACE
    NORTH WOODMERE, NY
    ZIP 11581
  • Facility Phone: 347 713-6871
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OLEG KOTELSKIY
  • NPI Number: 1508907510
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1056542
LAB Type Physician Office
Facility Name OLEG KOTELSKIY DO
Street 765 HILLCREST PLACE
City NORTH WOODMERE
State NY
ZIP 11581
Phone 347 713-6871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director DR. OLEG KOTELSKIY

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