33D2211388 CLIA NUMBER - FOOT AND ANKLE ORTHOPAEDIC SURGERY, PC

Laboratory Demographics

  • CLIA Code: 33D2211388
  • Facility Name: FOOT AND ANKLE ORTHOPAEDIC SURGERY, PC
  • Facility Address: 420 EAST 72ND STREET, NUMBER 1B
    NEW YORK, NY
    ZIP 10021
  • Facility Phone: 212 203-0740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN J. OMALLEY
  • NPI Number: 1104902972
  • Taxonomy: 207XX0004X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2211388
LAB Type Physician Office
Facility Name FOOT AND ANKLE ORTHOPAEDIC SURGERY, PC
Street 420 EAST 72ND STREET, NUMBER 1B
City NEW YORK
State NY
ZIP 10021
Phone 212 203-0740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director MARTIN J. OMALLEY

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