33D0142045 CLIA NUMBER - ROY H ERIKSEN MD PC

Laboratory Demographics

  • CLIA Code: 33D0142045
  • Facility Name: ROY H ERIKSEN MD PC
  • Facility Address: 311 NORTH MIDLAND AVENUE, SUITE 2
    UPPER NYACK, NY
    ZIP 10960
  • Facility Phone: 914 358-5006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROY H. ERIKSEN
  • NPI Number: 1881716934
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0142045
LAB Type Physician Office
Facility Name ROY H ERIKSEN MD PC
Street 311 NORTH MIDLAND AVENUE, SUITE 2
City UPPER NYACK
State NY
ZIP 10960
Phone 914 358-5006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2023
Certificate Expiration Date 8/9/2025
Facility Type Physician Office
Lab Director DR. ROY H. ERIKSEN

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This page was last updated on: 6/4/2025