33D2241831 CLIA NUMBER - ILYAYEVA IRINA PEDIATRICS PC DBA JACKSON HEIGHTS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2241831
  • Facility Name: ILYAYEVA IRINA PEDIATRICS PC DBA JACKSON HEIGHTS PEDIATRICS
  • Facility Address: 37-03 92ND STREET 1ST FLR
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 917 832-6562
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRINA ILYAYEVA
  • NPI Number: 1942089891
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2241831
LAB Type Physician Office
Facility Name ILYAYEVA IRINA PEDIATRICS PC DBA JACKSON HEIGHTS PEDIATRICS
Street 37-03 92ND STREET 1ST FLR
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 917 832-6562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director IRINA ILYAYEVA

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