33D2299694 CLIA NUMBER - QCW MEDICAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D2299694
  • Facility Name: QCW MEDICAL SERVICES PC
  • Facility Address: 103-18C 39TH AVE
    CORONA, NY
    ZIP 11368
  • Facility Phone: 718 709-7583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEANNETTE E. CANO-LANDIVAR
  • NPI Number: 1598198053
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D2299694
LAB Type Physician Office
Facility Name QCW MEDICAL SERVICES PC
Street 103-18C 39TH AVE
City CORONA
State NY
ZIP 11368
Phone 718 709-7583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director DR. JEANNETTE E. CANO-LANDIVAR

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