33D1058949 CLIA NUMBER - GOTHAM PODIATRIC SURGICAL SUITE PC

Laboratory Demographics

  • CLIA Code: 33D1058949
  • Facility Name: GOTHAM PODIATRIC SURGICAL SUITE PC
  • Facility Address: 133 EAST 54TH STREET 2ND FLOOR
    NEW YORK, NY
    ZIP 10022
  • Facility Phone: 212 759-9090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HOWARD R. SHAPIRO
  • NPI Number: 1477026870
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1058949
LAB Type Physician Office
Facility Name GOTHAM PODIATRIC SURGICAL SUITE PC
Street 133 EAST 54TH STREET 2ND FLOOR
City NEW YORK
State NY
ZIP 10022
Phone 212 759-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director DR. HOWARD R. SHAPIRO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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