33D2065431 CLIA NUMBER - COMMUNITY PEDIATRICIAN, PLLC

Laboratory Demographics

  • CLIA Code: 33D2065431
  • Facility Name: COMMUNITY PEDIATRICIAN, PLLC
  • Facility Address: 53-14 ROOSEVELT AVENUE, 2ND FLOOR
    WOODSIDE, NY
    ZIP 11377
  • Facility Phone: 718 205-6160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANCA M. BARBULESCU
  • NPI Number: 1114361482
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2065431
LAB Type Physician Office
Facility Name COMMUNITY PEDIATRICIAN, PLLC
Street 53-14 ROOSEVELT AVENUE, 2ND FLOOR
City WOODSIDE
State NY
ZIP 11377
Phone 718 205-6160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director DR. ANCA M. BARBULESCU

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