33D1090780 CLIA NUMBER - MODERN MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D1090780
  • Facility Name: MODERN MEDICAL PRACTICE PLLC
  • Facility Address: 30 MAIN STREET, 1ST FLOOR
    HASTINGS ON HUDSON, NY
    ZIP 10706
  • Facility Phone: 914 478-5121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OXANA C. POPESCU
  • NPI Number: 1760521959
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1090780
LAB Type Physician Office
Facility Name MODERN MEDICAL PRACTICE PLLC
Street 30 MAIN STREET, 1ST FLOOR
City HASTINGS ON HUDSON
State NY
ZIP 10706
Phone 914 478-5121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director DR. OXANA C. POPESCU

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