33D2203018 CLIA NUMBER - MANHATTAN FACIAL PLASTIC SURGERY PLLC

Laboratory Demographics

  • CLIA Code: 33D2203018
  • Facility Name: MANHATTAN FACIAL PLASTIC SURGERY PLLC
  • Facility Address: 1040 PARK AVENUE
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 452-3362
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAMIEH RIZK
  • NPI Number: 1407076565
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 33D2203018
LAB Type Physician Office
Facility Name MANHATTAN FACIAL PLASTIC SURGERY PLLC
Street 1040 PARK AVENUE
City NEW YORK
State NY
ZIP 10028
Phone 212 452-3362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director DR. SAMIEH RIZK

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