33D2234219 CLIA NUMBER - MODERN PHYSICIAN SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D2234219
  • Facility Name: MODERN PHYSICIAN SERVICES PC
  • Facility Address: 103-42 LEFFERTS BLVD
    SOUTH RICHMOND HILL, NY
    ZIP 11419
  • Facility Phone: (929) 468-9930
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MATTHEW CHAN

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CLIA Record

Field Name Field Value
CLIA Number 33D2234219
LAB Type Community Clinic
Facility Name MODERN PHYSICIAN SERVICES PC
Street 103-42 LEFFERTS BLVD
City SOUTH RICHMOND HILL
State NY
ZIP 11419
Phone 9294689930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2021
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director MATTHEW CHAN

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