33D2196148 CLIA NUMBER - STEPHANIE KHAN

Laboratory Demographics

  • CLIA Code: 33D2196148
  • Facility Name: STEPHANIE KHAN
  • Facility Address: 110-78 QUEENS BLVD
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 674-6784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. STEPHANIE KHAN
  • NPI Number: 1235647918
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2196148
LAB Type Physician Office
Facility Name STEPHANIE KHAN
Street 110-78 QUEENS BLVD
City FOREST HILLS
State NY
ZIP 11375
Phone 718 674-6784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director MS. STEPHANIE KHAN

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