33D2144702 CLIA NUMBER - TUVIDA MEDICAL PRACTICE, PLLC

Laboratory Demographics

  • CLIA Code: 33D2144702
  • Facility Name: TUVIDA MEDICAL PRACTICE, PLLC
  • Facility Address: 66 FORT WASHINGTON AVNUE
    NEW YORK, NY
    ZIP 10032
  • Facility Phone: 646 484-5455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MANUEL E. MEJIA
  • NPI Number: 1255842613
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2144702
LAB Type Physician Office
Facility Name TUVIDA MEDICAL PRACTICE, PLLC
Street 66 FORT WASHINGTON AVNUE
City NEW YORK
State NY
ZIP 10032
Phone 646 484-5455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director DR. MANUEL E. MEJIA

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