33D2117541 CLIA NUMBER - JCL MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 33D2117541
  • Facility Name: JCL MEDICAL, PC
  • Facility Address: 101-19 JAMAICA AVENUE
    RICHMOND HILL, NY
    ZIP 11418
  • Facility Phone: (718) 704-6299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEANNETTE E. CANO-LANDIVAR
  • NPI Number: 1407372428
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2117541
LAB Type Physician Office
Facility Name JCL MEDICAL, PC
Street 101-19 JAMAICA AVENUE
City RICHMOND HILL
State NY
ZIP 11418
Phone 7187046299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director DR. JEANNETTE E. CANO-LANDIVAR

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