33D1083318 CLIA NUMBER - MARINA GAFANOVICH MD PC

Laboratory Demographics

  • CLIA Code: 33D1083318
  • Facility Name: MARINA GAFANOVICH MD PC
  • Facility Address: 1550 YORK AVENUE
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 249-6218
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARINA GAFANOVICH
  • NPI Number: 1942328802
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1083318
LAB Type Physician Office
Facility Name MARINA GAFANOVICH MD PC
Street 1550 YORK AVENUE
City NEW YORK
State NY
ZIP 10028
Phone 212 249-6218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director MARINA GAFANOVICH

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