33D0130125 CLIA NUMBER - MAKOTO IWAHARA MD PC

Laboratory Demographics

  • CLIA Code: 33D0130125
  • Facility Name: MAKOTO IWAHARA MD PC
  • Facility Address: 120 EAST 79TH STREET
    NEW YORK, NY
    ZIP 10075
  • Facility Phone: 212 879-2328
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAKOTO IWAHARA
  • NPI Number: 1366627143
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0130125
LAB Type Physician Office
Facility Name MAKOTO IWAHARA MD PC
Street 120 EAST 79TH STREET
City NEW YORK
State NY
ZIP 10075
Phone 212 879-2328
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 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director MAKOTO IWAHARA

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