33D2182216 CLIA NUMBER - JAN ZISLIS MD PLLC DBA MODERN MEDICAL CONCIERGE

Laboratory Demographics

  • CLIA Code: 33D2182216
  • Facility Name: JAN ZISLIS MD PLLC DBA MODERN MEDICAL CONCIERGE
  • Facility Address: 3010 WESTCHESTER AVE SUITE 105
    PURCHASE, NY
    ZIP 10577
  • Facility Phone: 914 984-5052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAN ZISLIS
  • NPI Number: 1366492134
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2182216
LAB Type Physician Office
Facility Name JAN ZISLIS MD PLLC DBA MODERN MEDICAL CONCIERGE
Street 3010 WESTCHESTER AVE SUITE 105
City PURCHASE
State NY
ZIP 10577
Phone 914 984-5052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DR. JAN ZISLIS

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