33D2093998 CLIA NUMBER - COLUMBIADOCTORS/PRIMARY CARE NURSE PRACTITIONER GROUP

Laboratory Demographics

  • CLIA Code: 33D2093998
  • Facility Name: COLUMBIADOCTORS/PRIMARY CARE NURSE PRACTITIONER GROUP
  • Facility Address: 516 W 168TH ST
    NEW YORK, NY
    ZIP 10032
  • Facility Phone: 212 326-5705
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MAURA E. ABBOTT
  • NPI Number: 1104047984
  • Taxonomy: 363LA2200X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2093998
LAB Type Community Clinic
Facility Name COLUMBIADOCTORS/PRIMARY CARE NURSE PRACTITIONER GROUP
Street 516 W 168TH ST
City NEW YORK
State NY
ZIP 10032
Phone 212 326-5705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2015
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director MAURA E. ABBOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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