33D2178732 CLIA NUMBER - FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC DBA FIFTH AVENUE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D2178732
  • Facility Name: FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC DBA FIFTH AVENUE ASSOCIATES
  • Facility Address: 1034 5TH AVE
    NEW YORK, NY
    ZIP 10034
  • Facility Phone: 212 628-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EBRAHIM ELAHI
  • NPI Number: 1235220682
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2178732
LAB Type Physician Office
Facility Name FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC DBA FIFTH AVENUE ASSOCIATES
Street 1034 5TH AVE
City NEW YORK
State NY
ZIP 10034
Phone 212 628-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director DR. EBRAHIM ELAHI

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