33D2211205 CLIA NUMBER - PROHEALTH PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2211205
  • Facility Name: PROHEALTH PHARMACY INC
  • Facility Address: 385 2ND AVE
    NEW YORK, NY
    ZIP 10010
  • Facility Phone: 212 684-8300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. IRINA V. KESSLER
  • NPI Number: 1831296763
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2211205
LAB Type Pharmacy
Facility Name PROHEALTH PHARMACY INC
Street 385 2ND AVE
City NEW YORK
State NY
ZIP 10010
Phone 212 684-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. IRINA V. KESSLER

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