33D2232445 CLIA NUMBER - COVIGEN MEDTOX LAB INC

Laboratory Demographics

  • CLIA Code: 33D2232445
  • Facility Name: COVIGEN MEDTOX LAB INC
  • Facility Address: 7035 PARSON BLVD
    FRESH MEADOWS, NY
    ZIP 11365
  • Facility Phone: 347 515-1344
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. IKHLAS D. DARKHALIL
  • NPI Number: 1407424328
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 33D2232445
LAB Type Mobile Laboratory
Facility Name COVIGEN MEDTOX LAB INC
Street 7035 PARSON BLVD
City FRESH MEADOWS
State NY
ZIP 11365
Phone 347 515-1344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2021
Certificate Expiration Date 3/26/2027
Facility Type Mobile Laboratory
Lab Director DR. IKHLAS D. DARKHALIL

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