33D2051136 CLIA NUMBER - IDAN SHARON, MD

Laboratory Demographics

  • CLIA Code: 33D2051136
  • Facility Name: IDAN SHARON, MD
  • Facility Address: 345 SEAVIEW AVENUE
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: 212 945-4554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IDAN SHARON
  • NPI Number: 1689845315
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2051136
LAB Type Physician Office
Facility Name IDAN SHARON, MD
Street 345 SEAVIEW AVENUE
City STATEN ISLAND
State NY
ZIP 10305
Phone 212 945-4554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director IDAN SHARON

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