33D0953587 CLIA NUMBER - UPPER WEST SIDE MEDICAL ASSOCIATE PC

Laboratory Demographics

  • CLIA Code: 33D0953587
  • Facility Name: UPPER WEST SIDE MEDICAL ASSOCIATE PC
  • Facility Address: 464 WEST 145TH STREET
    NEW YORK, NY
    ZIP 10031
  • Facility Phone: (212) 926-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYNTHIA E. MYERS MD
  • NPI Number: 1043493000
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0953587
LAB Type Physician Office
Facility Name UPPER WEST SIDE MEDICAL ASSOCIATE PC
Street 464 WEST 145TH STREET
City NEW YORK
State NY
ZIP 10031
Phone 2129265050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director CYNTHIA E. MYERS MD

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This page was last updated on: 6/29/2026