33D2038206 CLIA NUMBER - JULISSA BAEZ MD, PC DBA EAST VILLAGE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2038206
  • Facility Name: JULISSA BAEZ MD, PC DBA EAST VILLAGE PEDIATRICS
  • Facility Address: 232 E 12TH ST, UNIT 1G
    NEW YORK, NY
    ZIP 10003
  • Facility Phone: 646 524-6351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JULISSA BAEZ
  • NPI Number: 1609091909
  • Taxonomy: 2080H0002X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2038206
LAB Type Physician Office
Facility Name JULISSA BAEZ MD, PC DBA EAST VILLAGE PEDIATRICS
Street 232 E 12TH ST, UNIT 1G
City NEW YORK
State NY
ZIP 10003
Phone 646 524-6351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director DR. JULISSA BAEZ

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