33D2054680 CLIA NUMBER - LAWRENCE BLUM, MD, PC

Laboratory Demographics

  • CLIA Code: 33D2054680
  • Facility Name: LAWRENCE BLUM, MD, PC
  • Facility Address: 116-24 METROPOLITAN AVENUE
    RICHMOND HILL, NY
    ZIP 11418
  • Facility Phone: 718 847-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE R. BLUM
  • NPI Number: 1366620577
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 33D2054680
LAB Type Physician Office
Facility Name LAWRENCE BLUM, MD, PC
Street 116-24 METROPOLITAN AVENUE
City RICHMOND HILL
State NY
ZIP 11418
Phone 718 847-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director LAWRENCE R. BLUM

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