33D2068677 CLIA NUMBER - BESPOKE SURGICAL PC

Laboratory Demographics

  • CLIA Code: 33D2068677
  • Facility Name: BESPOKE SURGICAL PC
  • Facility Address: 44 EAST 12TH STREET, SUITE MD 2
    NEW YORK, NY
    ZIP 10014
  • Facility Phone: 212 206-1501
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JIA QIN
  • NPI Number: 1063733863
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2068677
LAB Type Independent
Facility Name BESPOKE SURGICAL PC
Street 44 EAST 12TH STREET, SUITE MD 2
City NEW YORK
State NY
ZIP 10014
Phone 212 206-1501
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2014
Certificate Expiration Date 3/26/2027
Facility Type Independent
Lab Director DR. JIA QIN

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