33D0128693 CLIA NUMBER - JASON FALLER MD

Laboratory Demographics

  • CLIA Code: 33D0128693
  • Facility Name: JASON FALLER MD
  • Facility Address: 333 W 57TH
    NEW YORK, NY
    ZIP 10019
  • Facility Phone: 212 307-6880
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JASON FALLER
  • NPI Number: 1558352740
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0128693
LAB Type Physician Office
Facility Name JASON FALLER MD
Street 333 W 57TH
City NEW YORK
State NY
ZIP 10019
Phone 212 307-6880
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director JASON FALLER

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