33D2280945 CLIA NUMBER - JIB MEDICAL PC/JIB SERVICES INC

Laboratory Demographics

  • CLIA Code: 33D2280945
  • Facility Name: JIB MEDICAL PC/JIB SERVICES INC
  • Facility Address: 158-11 JEWEL AVE
    FLUSHING, NY
    ZIP 11365
  • Facility Phone: 718 591-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL E. MAKOVER
  • NPI Number: 1215334321
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D2280945
LAB Type Physician Office
Facility Name JIB MEDICAL PC/JIB SERVICES INC
Street 158-11 JEWEL AVE
City FLUSHING
State NY
ZIP 11365
Phone 718 591-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MICHAEL E. MAKOVER

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