33D2185150 CLIA NUMBER - COLOMBO'S PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2185150
  • Facility Name: COLOMBO'S PHARMACY
  • Facility Address: 75-51 METROPOLITAN AVE
    MIDDLE VILLAGE, NY
    ZIP 11379
  • Facility Phone: (718) 418-9700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MELLITA SHAKHMUROV
  • NPI Number: 1881609402
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2185150
LAB Type Pharmacy
Facility Name COLOMBO'S PHARMACY
Street 75-51 METROPOLITAN AVE
City MIDDLE VILLAGE
State NY
ZIP 11379
Phone 7184189700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MS. MELLITA SHAKHMUROV

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This page was last updated on: 5/18/2026