CenterLight Healthcare Diagnostic and Treatment Center
Director
							Jun M Mitsumoto, M.D.
			Expiration Date
							Phone Number
							(646) 734-8281
			UID (Facility ID - Site ID)
							M636-0012
			Site ID
							0012
			City
							Ridgewood
			CLIA Number
							33D0701727
			Street Address
							11-40 Seneca Avenue
			State
							NY
			Zip Code
							11385
			County
							Queens
			Country
							United States
			Fax Number
							(718) 571-6395
			Primary Contact
							Anne Marie Scioscia
			Contact Phone Number
							(929) 618-1553
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
							Glucose
							Glycosylated Hemoglobin
							Hemoglobin
							Influenza
							Occult Blood
							Protime
							Strep A Test
							Urinalysis
					Facility ID
							M636
			