33D1075827 CLIA NUMBER - RAMON TALLAJ MD ACADEMY MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D1075827
  • Facility Name: RAMON TALLAJ MD ACADEMY MEDICAL CARE PC
  • Facility Address: 571 ACADEMY STREET APT GLE
    NEW YORK, NY
    ZIP 10034
  • Facility Phone: 212 567-0550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMON M. TALLAJ
  • NPI Number: 1487753497
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1075827
LAB Type Physician Office
Facility Name RAMON TALLAJ MD ACADEMY MEDICAL CARE PC
Street 571 ACADEMY STREET APT GLE
City NEW YORK
State NY
ZIP 10034
Phone 212 567-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director RAMON M. TALLAJ

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