33D2160583 CLIA NUMBER - LISA C FISHMAN MD PLLC

Laboratory Demographics

  • CLIA Code: 33D2160583
  • Facility Name: LISA C FISHMAN MD PLLC
  • Facility Address: 1165 PARK AVENUE
    NEW YORK, NY
    ZIP 10128
  • Facility Phone: 646 215-9995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA C. FISHMAN
  • NPI Number: 1366485963
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2160583
LAB Type Physician Office
Facility Name LISA C FISHMAN MD PLLC
Street 1165 PARK AVENUE
City NEW YORK
State NY
ZIP 10128
Phone 646 215-9995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director DR. LISA C. FISHMAN

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