33D1088847 CLIA NUMBER - RICHMOND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D1088847
  • Facility Name: RICHMOND PRIMARY CARE
  • Facility Address: 305 SEGUINE AVENUE SUITE 1
    STATEN ISLAND, NY
    ZIP 10309
  • Facility Phone: (718) 967-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MIGUEL TIRADO
  • NPI Number: 1013048271
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D1088847
LAB Type Physician Office
Facility Name RICHMOND PRIMARY CARE
Street 305 SEGUINE AVENUE SUITE 1
City STATEN ISLAND
State NY
ZIP 10309
Phone 7189678300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director DR. MIGUEL TIRADO

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This page was last updated on: 5/18/2026