33D0984149 CLIA NUMBER - BAOEN JIANG MD

Laboratory Demographics

  • CLIA Code: 33D0984149
  • Facility Name: BAOEN JIANG MD
  • Facility Address: 8 CHATHAM SQUARE RM 301
    NEW YORK, NY
    ZIP 10038
  • Facility Phone: 212 334-7806
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAOEN JIANG MD
  • NPI Number: 1053598417
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0984149
LAB Type Physician Office
Facility Name BAOEN JIANG MD
Street 8 CHATHAM SQUARE RM 301
City NEW YORK
State NY
ZIP 10038
Phone 212 334-7806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director BAOEN JIANG MD

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