33D2033598 CLIA NUMBER - PRESTIGE PEDIATRIC CARE, PC

Laboratory Demographics

  • CLIA Code: 33D2033598
  • Facility Name: PRESTIGE PEDIATRIC CARE, PC
  • Facility Address: 136-25 MAPLE AVENUE, SUITE 206
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 445-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. YAN JIN
  • NPI Number: 1043597842
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2033598
LAB Type Physician Office
Facility Name PRESTIGE PEDIATRIC CARE, PC
Street 136-25 MAPLE AVENUE, SUITE 206
City FLUSHING
State NY
ZIP 11355
Phone 718 445-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director DR. YAN JIN

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This page was last updated on: 3/20/2025