33D2182217 CLIA NUMBER - JUNO MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2182217
  • Facility Name: JUNO MEDICAL PRACTICE PLLC
  • Facility Address: 2298 FREDERICK DOUGLAS BLVD
    NEW YORK, NY
    ZIP 10027
  • Facility Phone: 212 300-2836
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHANTE A. HINSON
  • NPI Number: 1831809854
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2182217
LAB Type Physician Office
Facility Name JUNO MEDICAL PRACTICE PLLC
Street 2298 FREDERICK DOUGLAS BLVD
City NEW YORK
State NY
ZIP 10027
Phone 212 300-2836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DR. SHANTE A. HINSON

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