33D1102811 CLIA NUMBER - NSHOA DBA NEW YORK HEALTH - ACCORD QUEENS

Laboratory Demographics

CLIA Number: 33D1102811

Facility Name: NSHOA DBA NEW YORK HEALTH - ACCORD QUEENS

Facility Address:
2632 EAST 14TH STREET
BROOKLYN, NY
ZIP 11235
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Facility Phone Number: 631 663-4871

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790949584

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	33D1102811
LAB Type	Physician Office
Facility Name	NSHOA DBA NEW YORK HEALTH - ACCORD QUEENS
Street	2632 EAST 14TH STREET
City	BROOKLYN
State	NY
ZIP	11235
Phone	631 663-4871
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

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