33D2287987 CLIA NUMBER - A FRIENDLY FACE ACADEMY CORP

Laboratory Demographics

CLIA Number: 33D2287987

Facility Name: A FRIENDLY FACE ACADEMY CORP

Facility Address:
1887 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314
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Facility Phone Number: 718 698-1300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275025348

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	33D2287987
LAB Type	Physician Office
Facility Name	A FRIENDLY FACE ACADEMY CORP
Street	1887 RICHMOND AVE
City	STATEN ISLAND
State	NY
ZIP	10314
Phone	718 698-1300
CertificateType	4
CertificateEffectiveDate	8/21/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024