33D1097126 CLIA NUMBER - HOWARD W BRADNOCK MD PC

Laboratory Demographics

  • CLIA Code: 33D1097126
  • Facility Name: HOWARD W BRADNOCK MD PC
  • Facility Address: 196-16 HILLSIDE AVE
    HOLLIS, NY
    ZIP 11423
  • Facility Phone: 718 217-6806
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HOWARD W. BRADNOCK
  • NPI Number: 1225002751
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1097126
LAB Type Physician Office
Facility Name HOWARD W BRADNOCK MD PC
Street 196-16 HILLSIDE AVE
City HOLLIS
State NY
ZIP 11423
Phone 718 217-6806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director DR. HOWARD W. BRADNOCK

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