33D1006271 CLIA NUMBER - MAIDEN LANE MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D1006271
  • Facility Name: MAIDEN LANE MEDICAL PLLC
  • Facility Address: 430 WEST BROADWAY 2ND FLOOR
    NEW YORK, NY
    ZIP 10012
  • Facility Phone: 212 941-0011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DENA E. HARRIS

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CLIA Record

Field Name Field Value
CLIA Number 33D1006271
LAB Type Physician Office
Facility Name MAIDEN LANE MEDICAL PLLC
Street 430 WEST BROADWAY 2ND FLOOR
City NEW YORK
State NY
ZIP 10012
Phone 212 941-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director DR. DENA E. HARRIS

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This page was last updated on: 6/4/2025