33D1062061 CLIA NUMBER - ADVANCED HEMATOLOGY ONCOLOGY PLLC

Laboratory Demographics

CLIA Number: 33D1062061

Facility Name: ADVANCED HEMATOLOGY ONCOLOGY PLLC

Facility Address:
42-35 MAIN STREET, SUITE 3 H
FLUSHING, NY
ZIP 11355
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Facility Phone Number: 718 321-0381

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1659541696

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 33D1062061
LAB Type Physician Office
Facility Name ADVANCED HEMATOLOGY ONCOLOGY PLLC
Street 42-35 MAIN STREET, SUITE 3 H
City FLUSHING
State NY
ZIP 11355
Phone 718 321-0381
CertificateType 2
CertificateEffectiveDate 9/12/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024