33D1096512 CLIA NUMBER - ADVANCED CARDIAC CARE, PLLC

Laboratory Demographics

CLIA Number: 33D1096512

Facility Name: ADVANCED CARDIAC CARE, PLLC

Facility Address:
95-11 101ST AVE
OZONE PARK, NY
ZIP 11416
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Facility Phone Number: 718 360-5060

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437334646

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D1096512
LAB Type	Physician Office
Facility Name	ADVANCED CARDIAC CARE, PLLC
Street	95-11 101ST AVE
City	OZONE PARK
State	NY
ZIP	11416
Phone	718 360-5060
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024