33D1084385 CLIA NUMBER - SOP MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1084385
  • Facility Name: SOP MEDICAL PC
  • Facility Address: 102-11 ROOSEVELT AVENUE SUITE 4
    CORONA, NY
    ZIP 11368
  • Facility Phone: 718 898-1386
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HECTOR B. FLORIMON-DELAROSA
  • NPI Number: 1083805741
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1084385
LAB Type Physician Office
Facility Name SOP MEDICAL PC
Street 102-11 ROOSEVELT AVENUE SUITE 4
City CORONA
State NY
ZIP 11368
Phone 718 898-1386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director DR. HECTOR B. FLORIMON-DELAROSA

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