33D2252097 CLIA NUMBER - LAWRENCE MARC JACOBSON MD PLLC

Laboratory Demographics

  • CLIA Code: 33D2252097
  • Facility Name: LAWRENCE MARC JACOBSON MD PLLC
  • Facility Address: 40 PARK AVE STE 4
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 981-9812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE M. JACOBSON
  • NPI Number: 1184627465
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 33D2252097
LAB Type Physician Office
Facility Name LAWRENCE MARC JACOBSON MD PLLC
Street 40 PARK AVE STE 4
City NEW YORK
State NY
ZIP 10016
Phone 212 981-9812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director DR. LAWRENCE M. JACOBSON

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