33D2073666 CLIA NUMBER - COMPLETE NEUROLOGICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2073666
  • Facility Name: COMPLETE NEUROLOGICAL CARE PC
  • Facility Address: 112-47 QUEENS BOULEVARD, SUITE 206
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 544-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELLEN I. EDGAR
  • NPI Number: 1962775882
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D2073666
LAB Type Physician Office
Facility Name COMPLETE NEUROLOGICAL CARE PC
Street 112-47 QUEENS BOULEVARD, SUITE 206
City FOREST HILLS
State NY
ZIP 11375
Phone 718 544-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director DR. ELLEN I. EDGAR

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