33D2051133 CLIA NUMBER - MOSS DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 33D2051133
  • Facility Name: MOSS DERMATOLOGY, LLC
  • Facility Address: 109-19 72ND ROAD COM1
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 268-3161
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JONATHAN L. YAO
  • NPI Number: 1780835918
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2051133
LAB Type Practitioner Other
Facility Name MOSS DERMATOLOGY, LLC
Street 109-19 72ND ROAD COM1
City FOREST HILLS
State NY
ZIP 11375
Phone 718 268-3161
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Practitioner Other
Lab Director DR. JONATHAN L. YAO

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