33D2160705 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH

Laboratory Demographics

  • CLIA Code: 33D2160705
  • Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
  • Facility Address: 535 FIFTH AVE - SUITE 604
    NEW YORK, NY
    ZIP 10017
  • Facility Phone: 212 794-0240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER S. KIM
  • NPI Number: 1750701611
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 33D2160705
LAB Type Physician Office
Facility Name CITY MEDICAL OF UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
Street 535 FIFTH AVE - SUITE 604
City NEW YORK
State NY
ZIP 10017
Phone 212 794-0240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2019
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. PETER S. KIM

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