33D2055139 CLIA NUMBER - GREENWICH HOUSE INC MMTP

Laboratory Demographics

  • CLIA Code: 33D2055139
  • Facility Name: GREENWICH HOUSE INC MMTP
  • Facility Address: 190 MERCER ST - 4TH FLOOR
    NEW YORK, NY
    ZIP 10012
  • Facility Phone: 212 677-3400
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SARA TAKI
  • NPI Number: 1790410843
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 33D2055139
LAB Type Community Clinic
Facility Name GREENWICH HOUSE INC MMTP
Street 190 MERCER ST - 4TH FLOOR
City NEW YORK
State NY
ZIP 10012
Phone 212 677-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2013
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. SARA TAKI

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