33D2024812 CLIA NUMBER - EASTERN PARK MEDICAL SERVICES, PC

Laboratory Demographics

  • CLIA Code: 33D2024812
  • Facility Name: EASTERN PARK MEDICAL SERVICES, PC
  • Facility Address: 93-19 ROOSEVELT AVENUE
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 426-4747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALVERIS MOLINA
  • NPI Number: 1588957658
  • Taxonomy: 207RP1001X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2024812
LAB Type Physician Office
Facility Name EASTERN PARK MEDICAL SERVICES, PC
Street 93-19 ROOSEVELT AVENUE
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 426-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director DR. ALVERIS MOLINA

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