33D2243857 CLIA NUMBER - CORONA ING INC

Laboratory Demographics

  • CLIA Code: 33D2243857
  • Facility Name: CORONA ING INC
  • Facility Address: 3719 108TH ST
    CORONA, NY
    ZIP 11368
  • Facility Phone: 718 406-9032
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. PAPANNA RAVICHANDRA
  • NPI Number: 1235897653
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2243857
LAB Type Mobile Laboratory
Facility Name CORONA ING INC
Street 3719 108TH ST
City CORONA
State NY
ZIP 11368
Phone 718 406-9032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2021
Certificate Expiration Date 3/26/2027
Facility Type Mobile Laboratory
Lab Director DR. PAPANNA RAVICHANDRA

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