33D1030871 CLIA NUMBER - PEDIATRICS 2000 AT 207 STREET

Laboratory Demographics

  • CLIA Code: 33D1030871
  • Facility Name: PEDIATRICS 2000 AT 207 STREET
  • Facility Address: 515 WEST 207 STREET
    NEW YORK, NY
    ZIP 10034
  • Facility Phone: 212 544-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUAN TAPIA-MENDOZA
  • NPI Number: 1811014483
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1030871
LAB Type Physician Office
Facility Name PEDIATRICS 2000 AT 207 STREET
Street 515 WEST 207 STREET
City NEW YORK
State NY
ZIP 10034
Phone 212 544-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DR. JUAN TAPIA-MENDOZA

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