33D2271116 CLIA NUMBER - PENINSULA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2271116
  • Facility Name: PENINSULA PEDIATRICS
  • Facility Address: 12105 ROCKAWAY BEACH BOULEVARD
    ROCKAWAY PARK, NY
    ZIP 11694
  • Facility Phone: 718 412-9980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE FLANIGAN
  • NPI Number: 1134843600
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2271116
LAB Type Physician Office
Facility Name PENINSULA PEDIATRICS
Street 12105 ROCKAWAY BEACH BOULEVARD
City ROCKAWAY PARK
State NY
ZIP 11694
Phone 718 412-9980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DANIELLE FLANIGAN

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