33D2193728 CLIA NUMBER - EDWARD S BENNETT MD PLLC

Laboratory Demographics

  • CLIA Code: 33D2193728
  • Facility Name: EDWARD S BENNETT MD PLLC
  • Facility Address: 139-12 73RD TERRACE
    FLUSHING, NY
    ZIP 11367
  • Facility Phone: 347 321-9399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD S. BENNETT
  • NPI Number: 1275148835
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 33D2193728
LAB Type Physician Office
Facility Name EDWARD S BENNETT MD PLLC
Street 139-12 73RD TERRACE
City FLUSHING
State NY
ZIP 11367
Phone 347 321-9399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director DR. EDWARD S. BENNETT

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This page was last updated on: 6/4/2025