33D0140994 CLIA NUMBER - JOHN E JACOBY MD, PC DBA METRO MED

Laboratory Demographics

  • CLIA Code: 33D0140994
  • Facility Name: JOHN E JACOBY MD, PC DBA METRO MED
  • Facility Address: 466 MAIN STREET, SUITE ML 1
    NEW ROCHELLE, NY
    ZIP 10801
  • Facility Phone: 914 633-1020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN E. JACOBY
  • NPI Number: 1790853778
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D0140994
LAB Type Physician Office
Facility Name JOHN E JACOBY MD, PC DBA METRO MED
Street 466 MAIN STREET, SUITE ML 1
City NEW ROCHELLE
State NY
ZIP 10801
Phone 914 633-1020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director DR. JOHN E. JACOBY

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