33D1075201 CLIA NUMBER - JORDAN B GLASER MD PC

Laboratory Demographics

  • CLIA Code: 33D1075201
  • Facility Name: JORDAN B GLASER MD PC
  • Facility Address: 1408 RICHMOND ROAD
    STATEN ISLAND, NY
    ZIP 10304
  • Facility Phone: 718 979-5647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORDAN B. GLASER
  • NPI Number: 1821084732
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1075201
LAB Type Physician Office
Facility Name JORDAN B GLASER MD PC
Street 1408 RICHMOND ROAD
City STATEN ISLAND
State NY
ZIP 10304
Phone 718 979-5647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director DR. JORDAN B. GLASER

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