33D1067757 CLIA NUMBER - JENNY Q LU MD

Laboratory Demographics

  • CLIA Code: 33D1067757
  • Facility Name: JENNY Q LU MD
  • Facility Address: 75 CRYSTAL RUN ROAD SUITE 105
    MIDDLETOWN, NY
    ZIP 10941
  • Facility Phone: 845 692-3542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNY Q. LU
  • NPI Number: 1396784070
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1067757
LAB Type Physician Office
Facility Name JENNY Q LU MD
Street 75 CRYSTAL RUN ROAD SUITE 105
City MIDDLETOWN
State NY
ZIP 10941
Phone 845 692-3542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2023
Certificate Expiration Date 4/30/2025
Facility Type Physician Office
Lab Director JENNY Q. LU

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This page was last updated on: 3/20/2025