33D2118182 CLIA NUMBER - EDWARD S KWAK MD FACIAL PLASTIC SURGERY PC

Laboratory Demographics

  • CLIA Code: 33D2118182
  • Facility Name: EDWARD S KWAK MD FACIAL PLASTIC SURGERY PC
  • Facility Address: 737 PARK AVENUE - UNIT 1D
    NEW YORK, NY
    ZIP 10021
  • Facility Phone: 212 229-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD S. KWAK
  • NPI Number: 1568514412
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 33D2118182
LAB Type Physician Office
Facility Name EDWARD S KWAK MD FACIAL PLASTIC SURGERY PC
Street 737 PARK AVENUE - UNIT 1D
City NEW YORK
State NY
ZIP 10021
Phone 212 229-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. EDWARD S. KWAK

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