33D1046942 CLIA NUMBER - FACES NY INC

Laboratory Demographics

  • CLIA Code: 33D1046942
  • Facility Name: FACES NY INC
  • Facility Address: 123 W 115TH STREET
    NEW YORK, NY
    ZIP 10026
  • Facility Phone: 212 283-9180
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. ALFRED O. FAYEMI
  • NPI Number: 1649794629
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 33D1046942
LAB Type Mobile Laboratory
Facility Name FACES NY INC
Street 123 W 115TH STREET
City NEW YORK
State NY
ZIP 10026
Phone 212 283-9180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2005
Certificate Expiration Date 3/26/2027
Facility Type Mobile Laboratory
Lab Director DR. ALFRED O. FAYEMI

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