33D2114969 CLIA NUMBER - KERI PETERSON, MD PC

Laboratory Demographics

  • CLIA Code: 33D2114969
  • Facility Name: KERI PETERSON, MD PC
  • Facility Address: 150 EAST 58TH STREET, 4TH FLOORANNEX
    NEW YORK, NY
    ZIP 10155
  • Facility Phone: 212 583-2962
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERI L. PETERSON
  • NPI Number: 1336119866
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2114969
LAB Type Physician Office
Facility Name KERI PETERSON, MD PC
Street 150 EAST 58TH STREET, 4TH FLOORANNEX
City NEW YORK
State NY
ZIP 10155
Phone 212 583-2962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. KERI L. PETERSON

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