33D2079391 CLIA NUMBER - MADISON ENT & FACIAL PLASTIC SURGERY, PC

Laboratory Demographics

  • CLIA Code: 33D2079391
  • Facility Name: MADISON ENT & FACIAL PLASTIC SURGERY, PC
  • Facility Address: 161 MADISON AVENUE, SUITE 11W
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: (212) 213-3339
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STACEY L. SILVERS
  • NPI Number: 1922280544
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 33D2079391
LAB Type Physician Office
Facility Name MADISON ENT & FACIAL PLASTIC SURGERY, PC
Street 161 MADISON AVENUE, SUITE 11W
City NEW YORK
State NY
ZIP 10016
Phone 2122133339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2026
Certificate Expiration Date 6/15/2028
Facility Type Physician Office
Lab Director DR. STACEY L. SILVERS

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This page was last updated on: 6/29/2026