33D0955706 CLIA NUMBER - EAST SIDE MEDICAL PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 33D0955706
  • Facility Name: EAST SIDE MEDICAL PRACTICE, PC
  • Facility Address: 20 EAST 46TH STREET, SUITE 200
    NEW YORK, NY
    ZIP 10017
  • Facility Phone: 212 481-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC N. LUTSKY
  • NPI Number: 1881715779
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0955706
LAB Type Physician Office
Facility Name EAST SIDE MEDICAL PRACTICE, PC
Street 20 EAST 46TH STREET, SUITE 200
City NEW YORK
State NY
ZIP 10017
Phone 212 481-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director DR. ERIC N. LUTSKY

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