33D2020519 CLIA NUMBER - KHAIMOV PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D2020519
  • Facility Name: KHAIMOV PEDIATRICS PLLC
  • Facility Address: 64-05 YELLOWSTONE BOULEVARD
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 606-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAFIK KHAIMOV
  • NPI Number: 1447508064
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2020519
LAB Type Physician Office
Facility Name KHAIMOV PEDIATRICS PLLC
Street 64-05 YELLOWSTONE BOULEVARD
City FOREST HILLS
State NY
ZIP 11375
Phone 718 606-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director DR. RAFIK KHAIMOV

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