33D1007238 CLIA NUMBER - IRA DAVIS MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1007238
  • Facility Name: IRA DAVIS MD PLLC
  • Facility Address: 280 NORTH CENTRAL PARK AVENUE SUITE 114
    HARTSDALE, NY
    ZIP 10530
  • Facility Phone: 914 288-0500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. IRA DAVIS
  • NPI Number: 1912981507
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1007238
LAB Type Physician Office
Facility Name IRA DAVIS MD PLLC
Street 280 NORTH CENTRAL PARK AVENUE SUITE 114
City HARTSDALE
State NY
ZIP 10530
Phone 914 288-0500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director DR. IRA DAVIS

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