33D1042634 CLIA NUMBER - DOUGLAS H BAILYN MD PC

Laboratory Demographics

  • CLIA Code: 33D1042634
  • Facility Name: DOUGLAS H BAILYN MD PC
  • Facility Address: 111 BROADWAY, SUITE 1302
    NEW YORK, NY
    ZIP 10006
  • Facility Phone: 212 777-1510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS H. BAILYN
  • NPI Number: 1982039129
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1042634
LAB Type Physician Office
Facility Name DOUGLAS H BAILYN MD PC
Street 111 BROADWAY, SUITE 1302
City NEW YORK
State NY
ZIP 10006
Phone 212 777-1510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director DR. DOUGLAS H. BAILYN

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