33D0997595 CLIA NUMBER - WEST SIDE MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 33D0997595
  • Facility Name: WEST SIDE MEDICAL GROUP PC
  • Facility Address: 314 WEST 14TH ST 1ST FLOOR
    NEW YORK, NY
    ZIP 10014
  • Facility Phone: (646) 638-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN V. DELLOSSO
  • NPI Number: 1265553622
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0997595
LAB Type Physician Office
Facility Name WEST SIDE MEDICAL GROUP PC
Street 314 WEST 14TH ST 1ST FLOOR
City NEW YORK
State NY
ZIP 10014
Phone 6466384000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2026
Certificate Expiration Date 3/20/2028
Facility Type Physician Office
Lab Director JOHN V. DELLOSSO

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This page was last updated on: 5/18/2026