33D2000281 CLIA NUMBER - METRO MEDICAL PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 33D2000281
  • Facility Name: METRO MEDICAL PRACTICE, PC
  • Facility Address: 116-07 METROPOLITAN AVE SUITE 102
    RICHMOND HILL, NY
    ZIP 11418
  • Facility Phone: 718 880-1569
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NANCY E. WALLACH
  • NPI Number: 1366735862
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2000281
LAB Type Physician Office
Facility Name METRO MEDICAL PRACTICE, PC
Street 116-07 METROPOLITAN AVE SUITE 102
City RICHMOND HILL
State NY
ZIP 11418
Phone 718 880-1569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director DR. NANCY E. WALLACH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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