33D1066852 CLIA NUMBER - PREMIER INTERNAL MEDICINE ASSOCIATES OF NEW YORK

Laboratory Demographics

  • CLIA Code: 33D1066852
  • Facility Name: PREMIER INTERNAL MEDICINE ASSOCIATES OF NEW YORK
  • Facility Address: 444 HUGUENOT AVENUE, SUITE A
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 718 948-3474
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KANWARDEEP S. AIDEN
  • NPI Number: 1700914959
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1066852
LAB Type Physician Office
Facility Name PREMIER INTERNAL MEDICINE ASSOCIATES OF NEW YORK
Street 444 HUGUENOT AVENUE, SUITE A
City STATEN ISLAND
State NY
ZIP 10312
Phone 718 948-3474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director DR. KANWARDEEP S. AIDEN

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