33D1083289 CLIA NUMBER - STAGES PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D1083289
  • Facility Name: STAGES PEDIATRICS PC
  • Facility Address: 128 FORT WASHINGTON AVENUE SUITE 1J
    NEW YORK, NY
    ZIP 10032
  • Facility Phone: 212 923-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSA E. GAMUNDI
  • NPI Number: 1538332580
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1083289
LAB Type Physician Office
Facility Name STAGES PEDIATRICS PC
Street 128 FORT WASHINGTON AVENUE SUITE 1J
City NEW YORK
State NY
ZIP 10032
Phone 212 923-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director ROSA E. GAMUNDI

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