33D2243095 CLIA NUMBER - MAICIE WONG MD PC

Laboratory Demographics

  • CLIA Code: 33D2243095
  • Facility Name: MAICIE WONG MD PC
  • Facility Address: 16 EAST 79TH ST STE 23
    NEW YORK, NY
    ZIP 10075
  • Facility Phone: 212 355-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAICIE M. WONG
  • NPI Number: 1922171925
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2243095
LAB Type Physician Office
Facility Name MAICIE WONG MD PC
Street 16 EAST 79TH ST STE 23
City NEW YORK
State NY
ZIP 10075
Phone 212 355-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director DR. MAICIE M. WONG

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