33D2068720 CLIA NUMBER - PHOENIX MEDICAL OFFICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2068720
  • Facility Name: PHOENIX MEDICAL OFFICE PLLC
  • Facility Address: 52-23 VAN LOON STREET
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: (646) 943-1588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KYAWT T. AUNG
  • NPI Number: 1770919466
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2068720
LAB Type Physician Office
Facility Name PHOENIX MEDICAL OFFICE PLLC
Street 52-23 VAN LOON STREET
City ELMHURST
State NY
ZIP 11373
Phone 6469431588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2025
Certificate Expiration Date 11/11/2027
Facility Type Physician Office
Lab Director DR. KYAWT T. AUNG

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This page was last updated on: 5/18/2026