33D2004263 CLIA NUMBER - STEPHANIE BUCK-HASKIN, MD PC

Laboratory Demographics

  • CLIA Code: 33D2004263
  • Facility Name: STEPHANIE BUCK-HASKIN, MD PC
  • Facility Address: 40-08 FORLEY STREET, 3RD FLOOR
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 396-3241
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHANIE BUCK-HASKIN
  • NPI Number: 1104284546
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 33D2004263
LAB Type Physician Office
Facility Name STEPHANIE BUCK-HASKIN, MD PC
Street 40-08 FORLEY STREET, 3RD FLOOR
City ELMHURST
State NY
ZIP 11373
Phone 718 396-3241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director DR. STEPHANIE BUCK-HASKIN

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