33D2151301 CLIA NUMBER - MOMA MEDICAL PLLC DBA SPECIALTY AESTHETIC SURGERY

Laboratory Demographics

  • CLIA Code: 33D2151301
  • Facility Name: MOMA MEDICAL PLLC DBA SPECIALTY AESTHETIC SURGERY
  • Facility Address: 925 PARK AVENUE - GROUND FLOOR
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 737-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRUCE K. MOSKOWITZ
  • NPI Number: 1639876485
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 33D2151301
LAB Type Physician Office
Facility Name MOMA MEDICAL PLLC DBA SPECIALTY AESTHETIC SURGERY
Street 925 PARK AVENUE - GROUND FLOOR
City NEW YORK
State NY
ZIP 10028
Phone 212 737-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director DR. BRUCE K. MOSKOWITZ

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