33D2198276 CLIA NUMBER - WESTSIDE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D2198276
  • Facility Name: WESTSIDE PEDIATRICS PC
  • Facility Address: 620 COLUMBUS AVENUE APT 1
    NEW YORK, NY
    ZIP 10024
  • Facility Phone: 212 874-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL N. YAKER
  • NPI Number: 1306962881
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2198276
LAB Type Physician Office
Facility Name WESTSIDE PEDIATRICS PC
Street 620 COLUMBUS AVENUE APT 1
City NEW YORK
State NY
ZIP 10024
Phone 212 874-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director DR. MICHAEL N. YAKER

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