33D2176839 CLIA NUMBER - CORONA MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2176839
  • Facility Name: CORONA MEDICAL PC
  • Facility Address: 4011 WARREN ST 2ND FL
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 426-8100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. AFSHIN TAVAKOLY
  • NPI Number: 1699026385
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2176839
LAB Type Physician Office
Facility Name CORONA MEDICAL PC
Street 4011 WARREN ST 2ND FL
City ELMHURST
State NY
ZIP 11373
Phone 718 426-8100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/1/2020
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. AFSHIN TAVAKOLY

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