33D2277839 CLIA NUMBER - DAVID TENEMBAUM, MD, PC

Laboratory Demographics

  • CLIA Code: 33D2277839
  • Facility Name: DAVID TENEMBAUM, MD, PC
  • Facility Address: 90-01 ROOSEVELT AVE 2A
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 396-2005
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MELISSA UMPHLETT
  • NPI Number: 1043453962
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2277839
LAB Type Physician Office
Facility Name DAVID TENEMBAUM, MD, PC
Street 90-01 ROOSEVELT AVE 2A
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 396-2005
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/7/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. MELISSA UMPHLETT

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