33D1063490 CLIA NUMBER - SUSAN MARSHALL MD

Laboratory Demographics

  • CLIA Code: 33D1063490
  • Facility Name: SUSAN MARSHALL MD
  • Facility Address: 251 CENTRAL PARK WEST, SUITE 1C
    NEW YORK, NY
    ZIP 10024
  • Facility Phone: 212 222-1722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN MARSHALL MD
  • NPI Number: 1073672515
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1063490
LAB Type Physician Office
Facility Name SUSAN MARSHALL MD
Street 251 CENTRAL PARK WEST, SUITE 1C
City NEW YORK
State NY
ZIP 10024
Phone 212 222-1722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director SUSAN MARSHALL MD

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