33D2029184 CLIA NUMBER - CREEDMOOR PSYCHIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 33D2029184
  • Facility Name: CREEDMOOR PSYCHIATRIC CENTER
  • Facility Address: 79-25 WINCHESTER BLVD
    QUEENS VILLAGE, NY
    ZIP 11427
  • Facility Phone: 718 264-4045
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. MUNIBAR R. KHAN
  • NPI Number: 1699817577
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D2029184
LAB Type Hospital
Facility Name CREEDMOOR PSYCHIATRIC CENTER
Street 79-25 WINCHESTER BLVD
City QUEENS VILLAGE
State NY
ZIP 11427
Phone 718 264-4045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2011
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DR. MUNIBAR R. KHAN

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