33D2327856 CLIA NUMBER - KAMILLA ISMAILOFF MD PC

Laboratory Demographics

  • CLIA Code: 33D2327856
  • Facility Name: KAMILLA ISMAILOFF MD PC
  • Facility Address: 110-14 LIBERTY AVENUE 1ST FL
    SOUTH RICHMOND HILL, NY
    ZIP 11419
  • Facility Phone: 718 323-6588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMILLA ISMAILOFF
  • NPI Number: 1992034961
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2327856
LAB Type Physician Office
Facility Name KAMILLA ISMAILOFF MD PC
Street 110-14 LIBERTY AVENUE 1ST FL
City SOUTH RICHMOND HILL
State NY
ZIP 11419
Phone 718 323-6588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director KAMILLA ISMAILOFF

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