33D2086631 CLIA NUMBER - MAMARONECK MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2086631
  • Facility Name: MAMARONECK MEDICAL PLLC
  • Facility Address: 933 MAMARONECK AVENUE, SUITE 102
    MAMARONECK, NY
    ZIP 10543
  • Facility Phone: 914 630-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LILI KUNG
  • NPI Number: 1992101984
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2086631
LAB Type Physician Office
Facility Name MAMARONECK MEDICAL PLLC
Street 933 MAMARONECK AVENUE, SUITE 102
City MAMARONECK
State NY
ZIP 10543
Phone 914 630-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director DR. LILI KUNG

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