33D0863819 CLIA NUMBER - EDWARD A FISHER MD

Laboratory Demographics

  • CLIA Code: 33D0863819
  • Facility Name: EDWARD A FISHER MD
  • Facility Address: 45 EAST 85TH STREET, SUITE 1E
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 472-7370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD A. FISHER
  • NPI Number: 1699781088
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0863819
LAB Type Physician Office
Facility Name EDWARD A FISHER MD
Street 45 EAST 85TH STREET, SUITE 1E
City NEW YORK
State NY
ZIP 10028
Phone 212 472-7370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director EDWARD A. FISHER

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