33D0711958 CLIA NUMBER - MIU K MA MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0711958
  • Facility Name: MIU K MA MD PLLC
  • Facility Address: 128 MOTT STREET, SUITE 603
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 732-2638
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MIU K. MA
  • NPI Number: 1205890175
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0711958
LAB Type Physician Office
Facility Name MIU K MA MD PLLC
Street 128 MOTT STREET, SUITE 603
City NEW YORK
State NY
ZIP 10013
Phone 212 732-2638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DR. MIU K. MA

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