33D0943339 CLIA NUMBER - DOCTOR CHAN MEDICAL PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D0943339
  • Facility Name: DOCTOR CHAN MEDICAL PRACTICE PC
  • Facility Address: 202 CANAL STREET, SUITE 801
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 406-2301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAMUEL S. CHAN
  • NPI Number: 1376729426
  • Taxonomy: 246XC2901X - Specialist/Technologist Cardiovascular

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0943339
LAB Type Physician Office
Facility Name DOCTOR CHAN MEDICAL PRACTICE PC
Street 202 CANAL STREET, SUITE 801
City NEW YORK
State NY
ZIP 10013
Phone 212 406-2301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DR. SAMUEL S. CHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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