33D2190283 CLIA NUMBER - WESTSIDE FAMILY MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 33D2190283
  • Facility Name: WESTSIDE FAMILY MEDICINE PLLC
  • Facility Address: 55 EAST 87TH ST SUITE 1F
    NEW YORK, NY
    ZIP 10128
  • Facility Phone: 917 258-2142
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BERTIE M. BREGMAN
  • NPI Number: 1477865558
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2190283
LAB Type Physician Office
Facility Name WESTSIDE FAMILY MEDICINE PLLC
Street 55 EAST 87TH ST SUITE 1F
City NEW YORK
State NY
ZIP 10128
Phone 917 258-2142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DR. BERTIE M. BREGMAN

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