33D0899859 CLIA NUMBER - STEPHEN S WAN, MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0899859
  • Facility Name: STEPHEN S WAN, MD PLLC
  • Facility Address: 217 GRAND STREET, 2ND FLOOR
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 625-9292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN S. WAN, MD
  • NPI Number: 1518020270
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0899859
LAB Type Physician Office
Facility Name STEPHEN S WAN, MD PLLC
Street 217 GRAND STREET, 2ND FLOOR
City NEW YORK
State NY
ZIP 10013
Phone 212 625-9292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director STEPHEN S. WAN, MD

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