33D0936215 CLIA NUMBER - HENRY P BELLUTTA MD

Laboratory Demographics

  • CLIA Code: 33D0936215
  • Facility Name: HENRY P BELLUTTA MD
  • Facility Address: 102 EAST 22ND STREET SUITE 1
    NEW YORK, NY
    ZIP 10010
  • Facility Phone: 212 420-9788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENRY P. BELLUTTA
  • NPI Number: 1114026911
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0936215
LAB Type Physician Office
Facility Name HENRY P BELLUTTA MD
Street 102 EAST 22ND STREET SUITE 1
City NEW YORK
State NY
ZIP 10010
Phone 212 420-9788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director HENRY P. BELLUTTA

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