33D1096512 CLIA NUMBER - ADVANCED CARDIAC CARE, PLLC

Laboratory Demographics

  • CLIA Code: 33D1096512
  • Facility Name: ADVANCED CARDIAC CARE, PLLC
  • Facility Address: 95-11 101ST AVE
    OZONE PARK, NY
    ZIP 11416
  • Facility Phone: 718 360-5060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. AVARICIO,MD
  • NPI Number: 1437334646
  • Taxonomy: 174400000X - Specialist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director MICHAEL L. AVARICIO,MD

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