33D0976698 CLIA NUMBER - VITALY TERUSHKIN MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0976698
  • Facility Name: VITALY TERUSHKIN MD PLLC
  • Facility Address: 205 EAST 69TH STREET STE 1C
    NEW YORK, NY
    ZIP 10021
  • Facility Phone: 212 772-3600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. VITALY TERUSHKIN
  • NPI Number: 1144294653
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0976698
LAB Type Physician Office
Facility Name VITALY TERUSHKIN MD PLLC
Street 205 EAST 69TH STREET STE 1C
City NEW YORK
State NY
ZIP 10021
Phone 212 772-3600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/17/2023
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director DR. VITALY TERUSHKIN

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This page was last updated on: 6/4/2025