33D2197189 CLIA NUMBER - DR MEDNIK MEDICAL PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D2197189
  • Facility Name: DR MEDNIK MEDICAL PRACTICE PC
  • Facility Address: 87-10 37TH AVENUE
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: (718) 899-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KARINE MEDNIK
  • NPI Number: 1386035400
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2197189
LAB Type Physician Office
Facility Name DR MEDNIK MEDICAL PRACTICE PC
Street 87-10 37TH AVENUE
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 7188998700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director DR. KARINE MEDNIK

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