33D2037599 CLIA NUMBER - CHOICES WOMEN'S MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 33D2037599

Facility Name: CHOICES WOMEN'S MEDICAL CENTER

Facility Address:
147-32 JAMAICA AVENUE
JAMAICA, NY
ZIP 11435
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Facility Phone Number: 718 349-9100

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1194832949

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2037599
LAB Type	Ambulatory Surgery Center
Facility Name	CHOICES WOMEN'S MEDICAL CENTER
Street	147-32 JAMAICA AVENUE
City	JAMAICA
State	NY
ZIP	11435
Phone	718 349-9100
CertificateType	4
CertificateEffectiveDate	3/2/2012
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024