33D2078917 CLIA NUMBER - AUGUSTO ZEVALLOS, MD

Laboratory Demographics

  • CLIA Code: 33D2078917
  • Facility Name: AUGUSTO ZEVALLOS, MD
  • Facility Address: 351 ONDERDONK AVENUE
    RIDGEWOOD, NY
    ZIP 11385
  • Facility Phone: 718 418-3335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AUGUSTO A. ZEVALLOS
  • NPI Number: 1962547331
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2078917
LAB Type Physician Office
Facility Name AUGUSTO ZEVALLOS, MD
Street 351 ONDERDONK AVENUE
City RIDGEWOOD
State NY
ZIP 11385
Phone 718 418-3335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director DR. AUGUSTO A. ZEVALLOS

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