33D2052631 CLIA NUMBER - R MOSTAFAVI MD OPHTHALMOLOGIST PC DBA MOSTAVFAVI EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 33D2052631
  • Facility Name: R MOSTAFAVI MD OPHTHALMOLOGIST PC DBA MOSTAVFAVI EYE INSTITUTE
  • Facility Address: 3860 VICTORY BOULEVARD -2ND FLOOR
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: 718 370-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAMIN MOSTAFAVI
  • NPI Number: 1851540488
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 33D2052631
LAB Type Physician Office
Facility Name R MOSTAFAVI MD OPHTHALMOLOGIST PC DBA MOSTAVFAVI EYE INSTITUTE
Street 3860 VICTORY BOULEVARD -2ND FLOOR
City STATEN ISLAND
State NY
ZIP 10314
Phone 718 370-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DR. RAMIN MOSTAFAVI

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