33D2263344 CLIA NUMBER - PROMINIS MEDICAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D2263344
  • Facility Name: PROMINIS MEDICAL SERVICES PC
  • Facility Address: 65-70 MYRTLE AVE
    GLENDALE, NY
    ZIP 11385
  • Facility Phone: 718 366-5391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRAS FENYVES
  • NPI Number: 1194608281
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2263344
LAB Type Physician Office
Facility Name PROMINIS MEDICAL SERVICES PC
Street 65-70 MYRTLE AVE
City GLENDALE
State NY
ZIP 11385
Phone 718 366-5391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director ANDRAS FENYVES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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