33D2188910 CLIA NUMBER - TRI STAR PHYSICIAN LLC COMMUNITY PAIN MEDICINE

Laboratory Demographics

  • CLIA Code: 33D2188910
  • Facility Name: TRI STAR PHYSICIAN LLC COMMUNITY PAIN MEDICINE
  • Facility Address: 14021 32ND AVE STE C1
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 718 224-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HAN S. LEE
  • NPI Number: 1144519042
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2188910
LAB Type Physician Office
Facility Name TRI STAR PHYSICIAN LLC COMMUNITY PAIN MEDICINE
Street 14021 32ND AVE STE C1
City FLUSHING
State NY
ZIP 11354
Phone 718 224-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director DR. HAN S. LEE

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