33D2311135 CLIA NUMBER - FO MEDICAL PC DBA NUFORMA WELLNESS

Laboratory Demographics

  • CLIA Code: 33D2311135
  • Facility Name: FO MEDICAL PC DBA NUFORMA WELLNESS
  • Facility Address: 18 HERVEY STREET
    STATEN ISLAND, NY
    ZIP 10309
  • Facility Phone: 212 448-5996
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FRANCIS ONWOCHEI
  • NPI Number: 1528813243
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2311135
LAB Type Physician Office
Facility Name FO MEDICAL PC DBA NUFORMA WELLNESS
Street 18 HERVEY STREET
City STATEN ISLAND
State NY
ZIP 10309
Phone 212 448-5996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director DR. FRANCIS ONWOCHEI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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