33D2147768 CLIA NUMBER - FREEDOM INSTITUTE

Laboratory Demographics

  • CLIA Code: 33D2147768
  • Facility Name: FREEDOM INSTITUTE
  • Facility Address: 515 MADISON AVE - SUITE 13A
    NEW YORK, NY
    ZIP 10022
  • Facility Phone: 212 838-0044
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. RYAN WADE
  • NPI Number: 1831333863
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2147768
LAB Type Comp. Outpatient Rehab Facility
Facility Name FREEDOM INSTITUTE
Street 515 MADISON AVE - SUITE 13A
City NEW YORK
State NY
ZIP 10022
Phone 212 838-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2018
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. RYAN WADE

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