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

Laboratory Demographics

  • CLIA Code: 33D1102811
  • Facility Name: NSHOA DBA NEW YORK HEALTH - ACCORD QUEENS
  • Facility Address: 2632 EAST 14TH STREET BASEMENT 3RD FLOOR
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 631 663-4871
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VITALY RAYKHMAN
  • NPI Number: 1790949584
  • Taxonomy: 174400000X - Specialist

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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 BASEMENT 3RD FLOOR
City BROOKLYN
State NY
ZIP 11235
Phone 631 663-4871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DR. VITALY RAYKHMAN

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