33D2231577 CLIA NUMBER - FUTURE CARE REGISTERED PROFESSIONAL NURSING PLLC

Laboratory Demographics

CLIA Number: 33D2231577

Facility Name: FUTURE CARE REGISTERED PROFESSIONAL NURSING PLLC

Facility Address:
6405 YELLOWSTONE BLVD CF 104
FOREST HILLS, NY
ZIP 11375
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Facility Phone Number: 718 795-7586

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003427329

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2231577
LAB Type	Physician Office
Facility Name	FUTURE CARE REGISTERED PROFESSIONAL NURSING PLLC
Street	6405 YELLOWSTONE BLVD CF 104
City	FOREST HILLS
State	NY
ZIP	11375
Phone	718 795-7586
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024