33D0865958 CLIA NUMBER - EASTSIDE MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D0865958
  • Facility Name: EASTSIDE MEDICAL ASSOCIATES
  • Facility Address: 111 EAST 88TH STREET - SUITE 1A
    NEW YORK, NY
    ZIP 10128
  • Facility Phone: 212 288-2278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY M. LORIA
  • NPI Number: 1528188430
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0865958
LAB Type Physician Office
Facility Name EASTSIDE MEDICAL ASSOCIATES
Street 111 EAST 88TH STREET - SUITE 1A
City NEW YORK
State NY
ZIP 10128
Phone 212 288-2278
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 JEFFREY M. LORIA

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