33D2159202 CLIA NUMBER - AJAY 28 LLC DBA NEW YORK PREVENTIVE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D2159202
  • Facility Name: AJAY 28 LLC DBA NEW YORK PREVENTIVE HEALTH CENTER
  • Facility Address: 68-60 AUSTIN ST - STORE NUMBER 10
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 997-7100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. STELLA ILYAYEVA
  • NPI Number: 1609342898
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2159202
LAB Type Community Clinic
Facility Name AJAY 28 LLC DBA NEW YORK PREVENTIVE HEALTH CENTER
Street 68-60 AUSTIN ST - STORE NUMBER 10
City FOREST HILLS
State NY
ZIP 11375
Phone 718 997-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2023
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. STELLA ILYAYEVA

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