33D2072074 CLIA NUMBER - HAZELDEN NEW YORK

Laboratory Demographics

  • CLIA Code: 33D2072074
  • Facility Name: HAZELDEN NEW YORK
  • Facility Address: 322 8TH AVE - 12TH FLOOR
    NEW YORK, NY
    ZIP 10001
  • Facility Phone: 212 420-9520
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. STANISLOV VOREL
  • NPI Number: 1053605923
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2072074
LAB Type Comp. Outpatient Rehab Facility
Facility Name HAZELDEN NEW YORK
Street 322 8TH AVE - 12TH FLOOR
City NEW YORK
State NY
ZIP 10001
Phone 212 420-9520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2014
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. STANISLOV VOREL

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This page was last updated on: 6/4/2025