33D2319357 CLIA NUMBER - LONG COAST MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2319357
  • Facility Name: LONG COAST MEDICAL PLLC
  • Facility Address: 136-36 39TH AVE 7TH FL
    FLUSHING, NY
    ZIP 11354
  • Facility Phone: 718 813-6391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TU WAN
  • NPI Number: 1861213373
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2319357
LAB Type Physician Office
Facility Name LONG COAST MEDICAL PLLC
Street 136-36 39TH AVE 7TH FL
City FLUSHING
State NY
ZIP 11354
Phone 718 813-6391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director TU WAN

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