33D2087507 CLIA NUMBER - CITY-CENTRAL DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2087507
  • Facility Name: CITY-CENTRAL DERMATOLOGY PC
  • Facility Address: 40-37 74TH STREET, BASEMENT LEVEL
    ELMHURST, NY
    ZIP 11373
  • Facility Phone: 718 651-7000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. EZRA HAZAN
  • NPI Number: 1780977579
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2087507
LAB Type Physician Office
Facility Name CITY-CENTRAL DERMATOLOGY PC
Street 40-37 74TH STREET, BASEMENT LEVEL
City ELMHURST
State NY
ZIP 11373
Phone 718 651-7000
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 6/26/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. EZRA HAZAN

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