33D2212978 CLIA NUMBER - LEWIS W MARSHALL JR MD PC

Laboratory Demographics

  • CLIA Code: 33D2212978
  • Facility Name: LEWIS W MARSHALL JR MD PC
  • Facility Address: 89-31 161 ST J
    JAMAICA, NY
    ZIP 11432
  • Facility Phone: 718 291-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEWIS W. MARSHALL
  • NPI Number: 1841297223
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2212978
LAB Type Physician Office
Facility Name LEWIS W MARSHALL JR MD PC
Street 89-31 161 ST J
City JAMAICA
State NY
ZIP 11432
Phone 718 291-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director DR. LEWIS W. MARSHALL

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