33D1003003 CLIA NUMBER - PARK AVENUE CONCIERGE MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D1003003
  • Facility Name: PARK AVENUE CONCIERGE MEDICINE PC
  • Facility Address: 127 EAST 61ST STREET - GFL
    NEW YORK, NY
    ZIP 10065
  • Facility Phone: 212 737-3136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH MULVEHILL
  • NPI Number: 1659627628
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1003003
LAB Type Physician Office
Facility Name PARK AVENUE CONCIERGE MEDICINE PC
Street 127 EAST 61ST STREET - GFL
City NEW YORK
State NY
ZIP 10065
Phone 212 737-3136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director DR. JOSEPH MULVEHILL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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