33D1064541 CLIA NUMBER - EAST-WEST INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 33D1064541
  • Facility Name: EAST-WEST INTEGRATIVE MEDICINE
  • Facility Address: 30 FIFTH AVENUE, STE 1E
    NEW YORK, NY
    ZIP 10011
  • Facility Phone: (212) 674-8777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EAMONN A. VITT
  • NPI Number: 1619095015
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1064541
LAB Type Physician Office
Facility Name EAST-WEST INTEGRATIVE MEDICINE
Street 30 FIFTH AVENUE, STE 1E
City NEW YORK
State NY
ZIP 10011
Phone 2126748777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director DR. EAMONN A. VITT

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This page was last updated on: 5/18/2026