33D1062579 CLIA NUMBER - DEBORAH A AANONSEN, DO PLLC

Laboratory Demographics

  • CLIA Code: 33D1062579
  • Facility Name: DEBORAH A AANONSEN, DO PLLC
  • Facility Address: 11 RALPH PLACE, SUITE 314
    STATEN ISLAND, NY
    ZIP 10304
  • Facility Phone: 718 815-3033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEBORAH A. AANONSEN
  • NPI Number: 1952395717
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1062579
LAB Type Physician Office
Facility Name DEBORAH A AANONSEN, DO PLLC
Street 11 RALPH PLACE, SUITE 314
City STATEN ISLAND
State NY
ZIP 10304
Phone 718 815-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director DR. DEBORAH A. AANONSEN

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