33D2212702 CLIA NUMBER - HEALTHSOURCE PHARMACY II INC

Laboratory Demographics

  • CLIA Code: 33D2212702
  • Facility Name: HEALTHSOURCE PHARMACY II INC
  • Facility Address: 120 EAST 34TH ST
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 481-6600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. LINDA NIYAZOV
  • NPI Number: 1346383403
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2212702
LAB Type Pharmacy
Facility Name HEALTHSOURCE PHARMACY II INC
Street 120 EAST 34TH ST
City NEW YORK
State NY
ZIP 10016
Phone 212 481-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MS. LINDA NIYAZOV

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