33D1024225 CLIA NUMBER - EMERSON MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D1024225
  • Facility Name: EMERSON MEDICAL PLLC
  • Facility Address: 11 RALPH PLACE, SUITE 305
    STATEN ISLAND, NY
    ZIP 10304
  • Facility Phone: (718) 448-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATALYA M. CHALIK
  • NPI Number: 1972723427
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1024225
LAB Type Physician Office
Facility Name EMERSON MEDICAL PLLC
Street 11 RALPH PLACE, SUITE 305
City STATEN ISLAND
State NY
ZIP 10304
Phone 7184483800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2026
Certificate Expiration Date 4/5/2028
Facility Type Physician Office
Lab Director NATALYA M. CHALIK

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: 5/18/2026