33D1086276 CLIA NUMBER - EXCEL URGENT CARE OF WANTAGH, PLLC EXCEL URGENT CARE

Laboratory Demographics

  • CLIA Code: 33D1086276
  • Facility Name: EXCEL URGENT CARE OF WANTAGH, PLLC EXCEL URGENT CARE
  • Facility Address: 3894 RICHMOND HILL ROAD
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 845 565-3700
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. ALVIN H. GOLDBERG
  • NPI Number: 1669971172
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D1086276
LAB Type Other - URGENT CARE
Facility Name EXCEL URGENT CARE OF WANTAGH, PLLC EXCEL URGENT CARE
Street 3894 RICHMOND HILL ROAD
City STATEN ISLAND
State NY
ZIP 10312
Phone 845 565-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Other - URGENT CARE
Lab Director DR. ALVIN H. GOLDBERG

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