33D2157534 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC

Laboratory Demographics

  • CLIA Code: 33D2157534
  • Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC
  • Facility Address: 256 UTICA AVE
    BROOKLYN, NY
    ZIP 11213
  • Facility Phone: 718 571-9355
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: DR. DMITRY VOLFSON
  • NPI Number: 1972088086
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2157534
LAB Type Industrial
Facility Name CITY MEDICAL OF UPPER EAST SIDE PLLC
Street 256 UTICA AVE
City BROOKLYN
State NY
ZIP 11213
Phone 718 571-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2018
Certificate Expiration Date 3/26/2027
Facility Type Industrial
Lab Director DR. DMITRY VOLFSON

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This page was last updated on: 3/20/2025