33D2298445 CLIA NUMBER - NEW YORK PRESBYTERIAN QUEENS DENTAL AND ORAL MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 33D2298445
  • Facility Name: NEW YORK PRESBYTERIAN QUEENS DENTAL AND ORAL MEDICINE CENTER
  • Facility Address: 174-11 HRACE HARDING EXPRESSWAY
    FRESH MEADOWS, NY
    ZIP 11365
  • Facility Phone: 718 670-2871
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MARSHA E. RUBIN
  • NPI Number: 1396920328
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2298445
LAB Type Community Clinic
Facility Name NEW YORK PRESBYTERIAN QUEENS DENTAL AND ORAL MEDICINE CENTER
Street 174-11 HRACE HARDING EXPRESSWAY
City FRESH MEADOWS
State NY
ZIP 11365
Phone 718 670-2871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. MARSHA E. RUBIN

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This page was last updated on: 6/4/2025