33D2028129 CLIA NUMBER - XIANDONG SHI, MD

Laboratory Demographics

  • CLIA Code: 33D2028129
  • Facility Name: XIANDONG SHI, MD
  • Facility Address: 41-60 MAIN STREET, UNIT 201C
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 865-8648
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. XIANDONG SHI
  • NPI Number: 1316124795
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2028129
LAB Type Physician Office
Facility Name XIANDONG SHI, MD
Street 41-60 MAIN STREET, UNIT 201C
City FLUSHING
State NY
ZIP 11355
Phone 718 865-8648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director DR. XIANDONG SHI

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