33D0915188 CLIA NUMBER - JAMES T GOODRICH MD

Laboratory Demographics

  • CLIA Code: 33D0915188
  • Facility Name: JAMES T GOODRICH MD
  • Facility Address: 20 WATERSIDE PLACE 20A
    NEW YORK, NY
    ZIP 10010
  • Facility Phone: 516 583-5286
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES T. GOODRICH
  • NPI Number: 1669402855
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0915188
LAB Type Physician Office
Facility Name JAMES T GOODRICH MD
Street 20 WATERSIDE PLACE 20A
City NEW YORK
State NY
ZIP 10010
Phone 516 583-5286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director JAMES T. GOODRICH

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