33D2181292 CLIA NUMBER - GENESIS MEDICAL DIAGNOSTIC PC

Laboratory Demographics

  • CLIA Code: 33D2181292
  • Facility Name: GENESIS MEDICAL DIAGNOSTIC PC
  • Facility Address: 425 MADISON AVE 14TH FLOOR
    MANHATTAN, NY
    ZIP 10017
  • Facility Phone: 212 644-9100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RUTH C. JOHNSON
  • NPI Number: 1598056129
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2181292
LAB Type Physician Office
Facility Name GENESIS MEDICAL DIAGNOSTIC PC
Street 425 MADISON AVE 14TH FLOOR
City MANHATTAN
State NY
ZIP 10017
Phone 212 644-9100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DR. RUTH C. JOHNSON

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