33D2169108 CLIA NUMBER - OLGA KHEYSON MD PC

Laboratory Demographics

  • CLIA Code: 33D2169108
  • Facility Name: OLGA KHEYSON MD PC
  • Facility Address: 3371 RICHMOND AVENUE
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 929 203-9494
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. OLGA KHEYSON
  • NPI Number: 1629540778
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2169108
LAB Type Physician Office
Facility Name OLGA KHEYSON MD PC
Street 3371 RICHMOND AVENUE
City STATEN ISLAND
State NY
ZIP 10312
Phone 929 203-9494
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/16/2023
Certificate Expiration Date 7/15/2025
Facility Type Physician Office
Lab Director DR. OLGA KHEYSON

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This page was last updated on: 6/4/2025