33D1051042 CLIA NUMBER - SANDY M FUNG MD

Laboratory Demographics

  • CLIA Code: 33D1051042
  • Facility Name: SANDY M FUNG MD
  • Facility Address: 17 ELIZABETH STREET, SUITE 509
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 925-5230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANDY M. FUNG
  • NPI Number: 1982670634
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1051042
LAB Type Physician Office
Facility Name SANDY M FUNG MD
Street 17 ELIZABETH STREET, SUITE 509
City NEW YORK
State NY
ZIP 10013
Phone 212 925-5230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director DR. SANDY M. FUNG

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