33D0958734 CLIA NUMBER - PEDIATRICS 2000 II PC

Laboratory Demographics

  • CLIA Code: 33D0958734
  • Facility Name: PEDIATRICS 2000 II PC
  • Facility Address: 3332 BROADWAY
    NEW YORK, NY
    ZIP 10031
  • Facility Phone: 212 694-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUAN A. TAPIA MENDOZA
  • NPI Number: 1912039074
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0958734
LAB Type Physician Office
Facility Name PEDIATRICS 2000 II PC
Street 3332 BROADWAY
City NEW YORK
State NY
ZIP 10031
Phone 212 694-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DR. JUAN A. TAPIA MENDOZA

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