33D2191220 CLIA NUMBER - ALICIA ALMENDRAL MD PLLC

Laboratory Demographics

CLIA Number: 33D2191220

Facility Name: ALICIA ALMENDRAL MD PLLC

Facility Address:
57-18 WOODSIDE AVE - 2ND FL SUITE 101
WOODSIDE, NY
ZIP 11377
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Facility Phone Number: 347 527-2257

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083930945

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 33D2191220
LAB Type Physician Office
Facility Name ALICIA ALMENDRAL MD PLLC
Street 57-18 WOODSIDE AVE - 2ND FL SUITE 101
City WOODSIDE
State NY
ZIP 11377
Phone 347 527-2257
CertificateType 4
CertificateEffectiveDate 8/25/2020
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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