33D2155349 CLIA NUMBER - 210 MJD MEDICAL PLLC DBA SILVER STAR URGENT CARE

Laboratory Demographics

  • CLIA Code: 33D2155349
  • Facility Name: 210 MJD MEDICAL PLLC DBA SILVER STAR URGENT CARE
  • Facility Address: 228 BEACH 20TH STREET
    FAR ROCKAWAY, NY
    ZIP 11691
  • Facility Phone: 718 924-7577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DINESH K. VERMA
  • NPI Number: 1750712220
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2155349
LAB Type Physician Office
Facility Name 210 MJD MEDICAL PLLC DBA SILVER STAR URGENT CARE
Street 228 BEACH 20TH STREET
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 924-7577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director DR. DINESH K. VERMA

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