33D0707055 CLIA NUMBER - MOUNT SINAI ST LUKE'S - ROOSEVELT HOSPITAL CENTER

Laboratory Demographics

  • CLIA Code: 33D0707055
  • Facility Name: MOUNT SINAI ST LUKE'S - ROOSEVELT HOSPITAL CENTER
  • Facility Address: 2109 BROADWAY
    NEW YORK, NY
    ZIP 10023
  • Facility Phone: (212) 523-8672
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. NINA PRIVEN
  • NPI Number: 1457725673
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D0707055
LAB Type Independent
Facility Name MOUNT SINAI ST LUKE'S - ROOSEVELT HOSPITAL CENTER
Street 2109 BROADWAY
City NEW YORK
State NY
ZIP 10023
Phone 2125238672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2009
Certificate Expiration Date 3/26/2027
Facility Type Independent
Lab Director DR. NINA PRIVEN

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This page was last updated on: 5/15/2026