33D2098458 CLIA NUMBER - SKINFLUENCE MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 33D2098458
  • Facility Name: SKINFLUENCE MEDICAL, PC
  • Facility Address: 1047 PARK AVENUE
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 754-6363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARINA I. PEREDO
  • NPI Number: 1770963084
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2098458
LAB Type Physician Office
Facility Name SKINFLUENCE MEDICAL, PC
Street 1047 PARK AVENUE
City NEW YORK
State NY
ZIP 10028
Phone 212 754-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director DR. MARINA I. PEREDO

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