33D2182704 CLIA NUMBER - WASHINGTON SQUARE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D2182704
  • Facility Name: WASHINGTON SQUARE DERMATOLOGY
  • Facility Address: 2 FIFTH AVENUE UNIT 2
    NEW YORK, NY
    ZIP 10011
  • Facility Phone: 212 256-1075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAMER H. JABER
  • NPI Number: 1205376530
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2182704
LAB Type Physician Office
Facility Name WASHINGTON SQUARE DERMATOLOGY
Street 2 FIFTH AVENUE UNIT 2
City NEW YORK
State NY
ZIP 10011
Phone 212 256-1075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director DR. SAMER H. JABER

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