33D2003254 CLIA NUMBER - DOUGLAS ALLEN, MD

Laboratory Demographics

  • CLIA Code: 33D2003254
  • Facility Name: DOUGLAS ALLEN, MD
  • Facility Address: 425 MADISON AVENUE, 11TH FLOOR
    NEW YORK, NY
    ZIP 10017
  • Facility Phone: 212 245-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS I. ALLEN
  • NPI Number: 1700975240
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 33D2003254
LAB Type Physician Office
Facility Name DOUGLAS ALLEN, MD
Street 425 MADISON AVENUE, 11TH FLOOR
City NEW YORK
State NY
ZIP 10017
Phone 212 245-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director DR. DOUGLAS I. ALLEN

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