33D2198638 CLIA NUMBER - DEBRA WATTENBERG MD PC

Laboratory Demographics

  • CLIA Code: 33D2198638
  • Facility Name: DEBRA WATTENBERG MD PC
  • Facility Address: 875 FIFTH AVENUE
    NEW YORK, NY
    ZIP 10065
  • Facility Phone: (212) 288-3200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEBRA J. WATTENBERG
  • NPI Number: 1437191236
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2198638
LAB Type Physician Office
Facility Name DEBRA WATTENBERG MD PC
Street 875 FIFTH AVENUE
City NEW YORK
State NY
ZIP 10065
Phone 2122883200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director DR. DEBRA J. WATTENBERG

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This page was last updated on: 5/15/2026