33D2314107 CLIA NUMBER - MICHAEL TSADYK MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2314107
  • Facility Name: MICHAEL TSADYK MEDICAL PC
  • Facility Address: 10721 QUEENS BOULEVARD SUITE 6
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 929 450-7007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL TSADYK
  • NPI Number: 1194212902
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2314107
LAB Type Physician Office
Facility Name MICHAEL TSADYK MEDICAL PC
Street 10721 QUEENS BOULEVARD SUITE 6
City FOREST HILLS
State NY
ZIP 11375
Phone 929 450-7007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MICHAEL TSADYK

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