33D0994262 CLIA NUMBER - ROGER A MAXFIELD MD

Laboratory Demographics

  • CLIA Code: 33D0994262
  • Facility Name: ROGER A MAXFIELD MD
  • Facility Address: 51 WEST 51ST STREET
    NEW YORK, NY
    ZIP 10019
  • Facility Phone: 212 326-8415
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROGER A. MAXFIELD
  • NPI Number: 1073536405
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0994262
LAB Type Physician Office
Facility Name ROGER A MAXFIELD MD
Street 51 WEST 51ST STREET
City NEW YORK
State NY
ZIP 10019
Phone 212 326-8415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director DR. ROGER A. MAXFIELD

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