33D2315807 CLIA NUMBER - PRESTIGE MEDICAL DIAGNOSTIC SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 33D2315807
  • Facility Name: PRESTIGE MEDICAL DIAGNOSTIC SOLUTIONS LLC
  • Facility Address: 114-74 225TH ST - LOWER LEVEL
    CAMBRIA HEIGHTS, NY
    ZIP 11411
  • Facility Phone: 800 440-1081
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CHRISTELLA MEDOZILE
  • NPI Number: 1003620790
  • Taxonomy: 171400000X - Health and Wellness Coach

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CLIA Record

Field Name Field Value
CLIA Number 33D2315807
LAB Type Mobile Laboratory
Facility Name PRESTIGE MEDICAL DIAGNOSTIC SOLUTIONS LLC
Street 114-74 225TH ST - LOWER LEVEL
City CAMBRIA HEIGHTS
State NY
ZIP 11411
Phone 800 440-1081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 3/26/2027
Facility Type Mobile Laboratory
Lab Director CHRISTELLA MEDOZILE

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