33D2221335 CLIA NUMBER - PURE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 33D2221335
  • Facility Name: PURE PEDIATRICS, PC
  • Facility Address: 60B MOTT STREET
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 796-2196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHANEL M. LI
  • NPI Number: 1013589365
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2221335
LAB Type Physician Office
Facility Name PURE PEDIATRICS, PC
Street 60B MOTT STREET
City NEW YORK
State NY
ZIP 10013
Phone 212 796-2196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Physician Office
Lab Director DR. CHANEL M. LI

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