33D0874296 CLIA NUMBER - LUCIANO DE MARCO MD

Laboratory Demographics

  • CLIA Code: 33D0874296
  • Facility Name: LUCIANO DE MARCO MD
  • Facility Address: 137 COLUMBUS AVE
    VALHALLA, NY
    ZIP 10595
  • Facility Phone: 914 761-9117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCIANO E. DE MARCO
  • NPI Number: 1902940968
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0874296
LAB Type Physician Office
Facility Name LUCIANO DE MARCO MD
Street 137 COLUMBUS AVE
City VALHALLA
State NY
ZIP 10595
Phone 914 761-9117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director LUCIANO E. DE MARCO

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