33D2008179 CLIA NUMBER - PANCARE MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2008179
  • Facility Name: PANCARE MEDICAL PC
  • Facility Address: 159-15 HILLSIDE AVENUE
    JAMAICA, NY
    ZIP 11432
  • Facility Phone: 718 473-2005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SILAS NWAISHIENYI
  • NPI Number: 1457548745
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2008179
LAB Type Physician Office
Facility Name PANCARE MEDICAL PC
Street 159-15 HILLSIDE AVENUE
City JAMAICA
State NY
ZIP 11432
Phone 718 473-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director DR. SILAS NWAISHIENYI

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