33D2114883 CLIA NUMBER - GOTHAM PER DIEM INC

Laboratory Demographics

  • CLIA Code: 33D2114883
  • Facility Name: GOTHAM PER DIEM INC
  • Facility Address: 90 BROAD STREET, SUITE 1201
    NEW YORK, NY
    ZIP 10004
  • Facility Phone: (212) 477-6100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. HARRY W. BERKOWITZ
  • NPI Number: 1114213824
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 33D2114883
LAB Type Home Health Agency
Facility Name GOTHAM PER DIEM INC
Street 90 BROAD STREET, SUITE 1201
City NEW YORK
State NY
ZIP 10004
Phone 2124776100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2016
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. HARRY W. BERKOWITZ

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This page was last updated on: 5/15/2026