33D2318561 CLIA NUMBER - MUSTAPHA BOURARA MD PC

Laboratory Demographics

  • CLIA Code: 33D2318561
  • Facility Name: MUSTAPHA BOURARA MD PC
  • Facility Address: 3047 38TH STREET
    ASTORIA, NY
    ZIP 11103
  • Facility Phone: 718 777-7577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MUSTAPHA BOURARA
  • NPI Number: 1437112083
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2318561
LAB Type Physician Office
Facility Name MUSTAPHA BOURARA MD PC
Street 3047 38TH STREET
City ASTORIA
State NY
ZIP 11103
Phone 718 777-7577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director DR. MUSTAPHA BOURARA

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