33D1056381 CLIA NUMBER - URBAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D1056381
  • Facility Name: URBAN DERMATOLOGY
  • Facility Address: 594 BROADWAY, SUITE 505
    NEW YORK, NY
    ZIP 10012
  • Facility Phone: 212 219-8012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH GOLDBERG
  • NPI Number: 1477650174
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D1056381
LAB Type Physician Office
Facility Name URBAN DERMATOLOGY
Street 594 BROADWAY, SUITE 505
City NEW YORK
State NY
ZIP 10012
Phone 212 219-8012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director DR. ELIZABETH GOLDBERG

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