33D2163718 CLIA NUMBER - BAYSIDE PEDIATRIC CARE PC

Laboratory Demographics

  • CLIA Code: 33D2163718
  • Facility Name: BAYSIDE PEDIATRIC CARE PC
  • Facility Address: 221-16 UNION TURNPIKE
    BAYSIDE, NY
    ZIP 11364
  • Facility Phone: 718 465-5888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LI MIN YANG
  • NPI Number: 1639478340
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2163718
LAB Type Physician Office
Facility Name BAYSIDE PEDIATRIC CARE PC
Street 221-16 UNION TURNPIKE
City BAYSIDE
State NY
ZIP 11364
Phone 718 465-5888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director DR. LI MIN YANG

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