33D2000616 CLIA NUMBER - MIGRACE MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 33D2000616
  • Facility Name: MIGRACE MEDICAL PRACTICE
  • Facility Address: 982 COLUMBUS AVE
    NEW YORK, NY
    ZIP 10025
  • Facility Phone: 212 862-9046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MIGUEL AVILA-RONDON
  • NPI Number: 1811943228
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2000616
LAB Type Physician Office
Facility Name MIGRACE MEDICAL PRACTICE
Street 982 COLUMBUS AVE
City NEW YORK
State NY
ZIP 10025
Phone 212 862-9046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director DR. MIGUEL AVILA-RONDON

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