33D0129235 CLIA NUMBER - DIANE TANENBAUM MD

Laboratory Demographics

  • CLIA Code: 33D0129235
  • Facility Name: DIANE TANENBAUM MD
  • Facility Address: 16 EAST 79TH STREET, SUITE 22
    NEW YORK, NY
    ZIP 10075
  • Facility Phone: 212 249-6122
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DIANE G. TANENBAUM
  • NPI Number: 1821006818
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0129235
LAB Type Physician Office
Facility Name DIANE TANENBAUM MD
Street 16 EAST 79TH STREET, SUITE 22
City NEW YORK
State NY
ZIP 10075
Phone 212 249-6122
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. DIANE G. TANENBAUM

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