33D0983898 CLIA NUMBER - YANINA KOTLYAR MD

Laboratory Demographics

  • CLIA Code: 33D0983898
  • Facility Name: YANINA KOTLYAR MD
  • Facility Address: 20 SQUADRON BLVD, SUITE 400
    NEW CITY, NY
    ZIP 10956
  • Facility Phone: 845 634-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YANINA KOTLYAR
  • NPI Number: 1396717153
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0983898
LAB Type Physician Office
Facility Name YANINA KOTLYAR MD
Street 20 SQUADRON BLVD, SUITE 400
City NEW CITY
State NY
ZIP 10956
Phone 845 634-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director YANINA KOTLYAR

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