33D2084927 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC

Laboratory Demographics

  • CLIA Code: 33D2084927
  • Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC
  • Facility Address: 2025 BROADWAY
    NEW YORK, NY
    ZIP 10023
  • Facility Phone: 212 390-8812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DMITRY VOLFSON
  • NPI Number: 1033512611
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2084927
LAB Type Physician Office
Facility Name CITY MEDICAL OF UPPER EAST SIDE PLLC
Street 2025 BROADWAY
City NEW YORK
State NY
ZIP 10023
Phone 212 390-8812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2018
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. DMITRY VOLFSON

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