33D0720762 CLIA NUMBER - PETER M GOTTESFELD MD

Laboratory Demographics

  • CLIA Code: 33D0720762
  • Facility Name: PETER M GOTTESFELD MD
  • Facility Address: 334 UNDERHILL AVENUE - STE 3C
    YORKTOWN HEIGHTS, NY
    ZIP 10598
  • Facility Phone: 914 241-7800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PETER M. GOTTESFELD
  • NPI Number: 1114011368
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0720762
LAB Type Physician Office
Facility Name PETER M GOTTESFELD MD
Street 334 UNDERHILL AVENUE - STE 3C
City YORKTOWN HEIGHTS
State NY
ZIP 10598
Phone 914 241-7800
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 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director DR. PETER M. GOTTESFELD

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