33D2095562 CLIA NUMBER - MSKCC CLINICAL LABORATORY AT JOSIE ROBERTSON - LIMITED

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Laboratory Demographics

CLIA Number: 33D2095562

Facility Name: MSKCC CLINICAL LABORATORY AT JOSIE ROBERTSON - LIMITED

Facility Address:
1133 YORK AVENUE
NEW YORK, NY
ZIP 10065
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Facility Phone Number: 212 639-7245

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1629200035

Taxonomy: 284300000X - Special Hospital
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

CLIA Record

Field Name	Field Value
CLIA Number	33D2095562
LAB Type	Ambulatory Surgery Center
Facility Name	MSKCC CLINICAL LABORATORY AT JOSIE ROBERTSON - LIMITED
Street	1133 YORK AVENUE
City	NEW YORK
State	NY
ZIP	10065
Phone	212 639-7245
CertificateType	4
CertificateEffectiveDate	10/1/2015
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024