33D2039171 CLIA NUMBER - SALVADOR PEREZ MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2039171
  • Facility Name: SALVADOR PEREZ MEDICAL PC
  • Facility Address: 100-05 ROOSEVELT AVENUE, SUITE 2
    CORONA, NY
    ZIP 11368
  • Facility Phone: 347 201-4567
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SALVADOR O. PEREZ
  • NPI Number: 1104024314
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2039171
LAB Type Physician Office
Facility Name SALVADOR PEREZ MEDICAL PC
Street 100-05 ROOSEVELT AVENUE, SUITE 2
City CORONA
State NY
ZIP 11368
Phone 347 201-4567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director DR. SALVADOR O. PEREZ

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