33D1000789 CLIA NUMBER - SUSIE CHUNG MD PC

Laboratory Demographics

  • CLIA Code: 33D1000789
  • Facility Name: SUSIE CHUNG MD PC
  • Facility Address: 139 CENTRE STREET, SUITE 320
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 334-1207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSIE CHUNG
  • NPI Number: 1760417471
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1000789
LAB Type Physician Office
Facility Name SUSIE CHUNG MD PC
Street 139 CENTRE STREET, SUITE 320
City NEW YORK
State NY
ZIP 10013
Phone 212 334-1207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. SUSIE CHUNG

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