33D2066018 CLIA NUMBER - CORONA MEDICAL PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 33D2066018
  • Facility Name: CORONA MEDICAL PRACTICE, PC
  • Facility Address: 101-14 39TH AVENUE
    CORONA, NY
    ZIP 11368
  • Facility Phone: 718 205-1513
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CRAIG L. SHEFLIN
  • NPI Number: 1598142499
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2066018
LAB Type Physician Office
Facility Name CORONA MEDICAL PRACTICE, PC
Street 101-14 39TH AVENUE
City CORONA
State NY
ZIP 11368
Phone 718 205-1513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director DR. CRAIG L. SHEFLIN

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