33D2247077 CLIA NUMBER - EAST SUMMIT MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2247077
  • Facility Name: EAST SUMMIT MEDICAL PC
  • Facility Address: 40 BOWERY #1 FLOOR
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 347 256-6739
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN TIN
  • NPI Number: 1093371742
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2247077
LAB Type Physician Office
Facility Name EAST SUMMIT MEDICAL PC
Street 40 BOWERY #1 FLOOR
City NEW YORK
State NY
ZIP 10013
Phone 347 256-6739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director DR. KEVIN TIN

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