33D0865741 CLIA NUMBER - BENJAMIN C H PENG MD

Laboratory Demographics

  • CLIA Code: 33D0865741
  • Facility Name: BENJAMIN C H PENG MD
  • Facility Address: 168 CANAL STREET, SUITE 310
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 226-2200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BENJAMIN C. PENG
  • NPI Number: 1356303739
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0865741
LAB Type Physician Office
Facility Name BENJAMIN C H PENG MD
Street 168 CANAL STREET, SUITE 310
City NEW YORK
State NY
ZIP 10013
Phone 212 226-2200
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. BENJAMIN C. PENG

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