33D1090130 CLIA NUMBER - I & R MEDICAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D1090130
  • Facility Name: I & R MEDICAL SERVICES PC
  • Facility Address: 112-41 QUEENS BOULEVARD, SUITE LLB
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 520-7713
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROZA ISRAEL MD
  • NPI Number: 1063458560
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1090130
LAB Type Physician Office
Facility Name I & R MEDICAL SERVICES PC
Street 112-41 QUEENS BOULEVARD, SUITE LLB
City FOREST HILLS
State NY
ZIP 11375
Phone 718 520-7713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director ROZA ISRAEL MD

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