33D2175931 CLIA NUMBER - NY FAMILY PRACTICE PHYSICIANS, PC

Laboratory Demographics

CLIA Number: 33D2175931

Facility Name: NY FAMILY PRACTICE PHYSICIANS, PC

Facility Address:
76-02 JAMAICA AVE
WOODHAVEN, NY
ZIP 11421
Get Directions

Facility Phone Number: 718 336-8276

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790936854

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2175931
LAB Type	Physician Office
Facility Name	NY FAMILY PRACTICE PHYSICIANS, PC
Street	76-02 JAMAICA AVE
City	WOODHAVEN
State	NY
ZIP	11421
Phone	718 336-8276
CertificateType	4
CertificateEffectiveDate	12/5/2023
CertificateExpirationDate	12/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024