33D2118738 CLIA NUMBER - LANDMARK MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2118738
  • Facility Name: LANDMARK MEDICAL PC
  • Facility Address: 1985 MARCUS AVE - SUITE 110
    NEW HYDE PARK, NY
    ZIP 11042
  • Facility Phone: 347 378-9898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIVIAN O. ADEYEMO
  • NPI Number: 1962801860
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D2118738
LAB Type Physician Office
Facility Name LANDMARK MEDICAL PC
Street 1985 MARCUS AVE - SUITE 110
City NEW HYDE PARK
State NY
ZIP 11042
Phone 347 378-9898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. VIVIAN O. ADEYEMO

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