33D2197418 CLIA NUMBER - WOODHAVEN CHEMIST CORP

Laboratory Demographics

  • CLIA Code: 33D2197418
  • Facility Name: WOODHAVEN CHEMIST CORP
  • Facility Address: 86-22 JAMAICA AVE
    WOODHAVEN, NY
    ZIP 11421
  • Facility Phone: 718 441-7111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. IGOR MATATOV
  • NPI Number: 1518447861
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2197418
LAB Type Pharmacy
Facility Name WOODHAVEN CHEMIST CORP
Street 86-22 JAMAICA AVE
City WOODHAVEN
State NY
ZIP 11421
Phone 718 441-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. IGOR MATATOV

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