33D2197547 CLIA NUMBER - ELLEN C GENDLER MDPC

Laboratory Demographics

  • CLIA Code: 33D2197547
  • Facility Name: ELLEN C GENDLER MDPC
  • Facility Address: 1035 5TH AVE SUITE B
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 288-8222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELLEN C. GENDLER
  • NPI Number: 1891997409
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2197547
LAB Type Physician Office
Facility Name ELLEN C GENDLER MDPC
Street 1035 5TH AVE SUITE B
City NEW YORK
State NY
ZIP 10028
Phone 212 288-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director DR. ELLEN C. GENDLER

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