33D0683897 CLIA NUMBER - GARY H GOLDMAN MD

Laboratory Demographics

  • CLIA Code: 33D0683897
  • Facility Name: GARY H GOLDMAN MD
  • Facility Address: 1735 YORK AVENUE - STE A
    NEW YORK, NY
    ZIP 10128
  • Facility Phone: 212 535-6100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARY H. GOLDMAN
  • NPI Number: 1790896785
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0683897
LAB Type Physician Office
Facility Name GARY H GOLDMAN MD
Street 1735 YORK AVENUE - STE A
City NEW YORK
State NY
ZIP 10128
Phone 212 535-6100
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 GARY H. GOLDMAN

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