33D1098314 CLIA NUMBER - JUNCTION MEDICAL OFFICE PC

Laboratory Demographics

  • CLIA Code: 33D1098314
  • Facility Name: JUNCTION MEDICAL OFFICE PC
  • Facility Address: 92-11 35TH AVENUE SUITE 1E
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 429-4555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FAUSTO A. GONZALEZ
  • NPI Number: 1538306352
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1098314
LAB Type Physician Office
Facility Name JUNCTION MEDICAL OFFICE PC
Street 92-11 35TH AVENUE SUITE 1E
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 429-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director DR. FAUSTO A. GONZALEZ

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