33D2180237 CLIA NUMBER - MANHATTAN PSYCHIATRIC CENTER 125TH STREET CLINIC

Laboratory Demographics

  • CLIA Code: 33D2180237
  • Facility Name: MANHATTAN PSYCHIATRIC CENTER 125TH STREET CLINIC
  • Facility Address: 163 W 125TH ST - 11TH AND 12TH FLOORS
    NEW YORK, NY
    ZIP 10027
  • Facility Phone: 212 961-8701
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD J. GERSH
  • NPI Number: 1659543817
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2180237
LAB Type Community Clinic
Facility Name MANHATTAN PSYCHIATRIC CENTER 125TH STREET CLINIC
Street 163 W 125TH ST - 11TH AND 12TH FLOORS
City NEW YORK
State NY
ZIP 10027
Phone 212 961-8701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2020
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. RICHARD J. GERSH

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