33D1107328 CLIA NUMBER - NOVEL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D1107328
  • Facility Name: NOVEL MEDICINE PC
  • Facility Address: 98-30 67TH AVE, SUITE G6
    REGO PARK, NY
    ZIP 11374
  • Facility Phone: 718 896-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA GOLDVUG
  • NPI Number: 1164682217
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1107328
LAB Type Physician Office
Facility Name NOVEL MEDICINE PC
Street 98-30 67TH AVE, SUITE G6
City REGO PARK
State NY
ZIP 11374
Phone 718 896-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director RITA GOLDVUG

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