33D1012448 CLIA NUMBER - MAYFIELD MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 33D1012448
  • Facility Name: MAYFIELD MEDICAL GROUP LLC
  • Facility Address: 16 NORTH BROADWAY SUITE LMG
    WHITE PLAINS, NY
    ZIP 10601
  • Facility Phone: 914 686-1848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELE L. BAILEY
  • NPI Number: 1063508125
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1012448
LAB Type Physician Office
Facility Name MAYFIELD MEDICAL GROUP LLC
Street 16 NORTH BROADWAY SUITE LMG
City WHITE PLAINS
State NY
ZIP 10601
Phone 914 686-1848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director MICHELE L. BAILEY

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