33D2058934 CLIA NUMBER - P & P PEDIATRIC PC

Laboratory Demographics

  • CLIA Code: 33D2058934
  • Facility Name: P & P PEDIATRIC PC
  • Facility Address: 88-10 175TH STREET
    JAMAICA, NY
    ZIP 11432
  • Facility Phone: 718 880-1566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUDHA VIJAYKUMAR
  • NPI Number: 1760734040
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2058934
LAB Type Physician Office
Facility Name P & P PEDIATRIC PC
Street 88-10 175TH STREET
City JAMAICA
State NY
ZIP 11432
Phone 718 880-1566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director DR. SUDHA VIJAYKUMAR

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