33D1100696 CLIA NUMBER - KENNETH B CHAPMAN MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1100696
  • Facility Name: KENNETH B CHAPMAN MD PLLC
  • Facility Address: 860 5TH AVENUE
    NEW YORK, NY
    ZIP 10065
  • Facility Phone: 212 724-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH B. CHAPMAN
  • NPI Number: 1467409813
  • Taxonomy: 103G00000X - Clinical Neuropsychologist

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CLIA Record

Field Name Field Value
CLIA Number 33D1100696
LAB Type Physician Office
Facility Name KENNETH B CHAPMAN MD PLLC
Street 860 5TH AVENUE
City NEW YORK
State NY
ZIP 10065
Phone 212 724-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director DR. KENNETH B. CHAPMAN

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