33D0996617 CLIA NUMBER - MELISSA M CHAN MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0996617
  • Facility Name: MELISSA M CHAN MD PLLC
  • Facility Address: 139 CENTRE STREET - PH 104
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: (212) 343-2536
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MELISSA M. CHAN
  • NPI Number: 1417912031
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0996617
LAB Type Physician Office
Facility Name MELISSA M CHAN MD PLLC
Street 139 CENTRE STREET - PH 104
City NEW YORK
State NY
ZIP 10013
Phone 2123432536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2026
Certificate Expiration Date 2/21/2028
Facility Type Physician Office
Lab Director DR. MELISSA M. CHAN

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This page was last updated on: 5/15/2026