33D2288945 CLIA NUMBER - GRACE WANG NP IN FAMILY HEALTH PC

Laboratory Demographics

  • CLIA Code: 33D2288945
  • Facility Name: GRACE WANG NP IN FAMILY HEALTH PC
  • Facility Address: 6475 AUSTIN ST STE M1
    REGO PARK, NY
    ZIP 11374
  • Facility Phone: 347 436-8335
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GRACE X. WANG
  • NPI Number: 1104365303
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2288945
LAB Type Practitioner Other
Facility Name GRACE WANG NP IN FAMILY HEALTH PC
Street 6475 AUSTIN ST STE M1
City REGO PARK
State NY
ZIP 11374
Phone 347 436-8335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Practitioner Other
Lab Director GRACE X. WANG

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