33D2275116 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC

Laboratory Demographics

  • CLIA Code: 33D2275116
  • Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC
  • Facility Address: 136-57 ROOSEVELT AVE
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 929 476-0463
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. DMITRY VOLFSON
  • NPI Number: 1831806314
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2275116
LAB Type Community Clinic
Facility Name CITY MEDICAL OF UPPER EAST SIDE PLLC
Street 136-57 ROOSEVELT AVE
City FLUSHING
State NY
ZIP 11354
Phone 929 476-0463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2023
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. DMITRY VOLFSON

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