33D0857889 CLIA NUMBER - ADVANCED UROLOGY GRAMERCY PARK DIVISION DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC

Laboratory Demographics

  • CLIA Code: 33D0857889
  • Facility Name: ADVANCED UROLOGY GRAMERCY PARK DIVISION DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
  • Facility Address: 201 EAST 19TH STREET
    NEW YORK, NY
    ZIP 10003
  • Facility Phone: 212 673-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN M. BERMAN
  • NPI Number: 1780872424
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0857889
LAB Type Physician Office
Facility Name ADVANCED UROLOGY GRAMERCY PARK DIVISION DIVISION OF INTEGRATED MEDICAL PROFESSIONALS PLLC
Street 201 EAST 19TH STREET
City NEW YORK
State NY
ZIP 10003
Phone 212 673-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director DR. STEVEN M. BERMAN

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