33D2083061 CLIA NUMBER - 84 STREET MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2083061
  • Facility Name: 84 STREET MEDICAL PC
  • Facility Address: 35-59 84TH STREET
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 507-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUCOT CHERENFANT
  • NPI Number: 1780093153
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2083061
LAB Type Physician Office
Facility Name 84 STREET MEDICAL PC
Street 35-59 84TH STREET
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 507-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director DR. LUCOT CHERENFANT

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