33D2275244 CLIA NUMBER - MEDCOR AT 30 ROCKEFELLER PLAZA

Laboratory Demographics

  • CLIA Code: 33D2275244
  • Facility Name: MEDCOR AT 30 ROCKEFELLER PLAZA
  • Facility Address: 30 ROCKEFELLER PLAZA
    NEW YORK, NY
    ZIP 10112
  • Facility Phone: 808 303-5708
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. VICTOR POLITI
  • NPI Number: 1407187917
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2275244
LAB Type Independent
Facility Name MEDCOR AT 30 ROCKEFELLER PLAZA
Street 30 ROCKEFELLER PLAZA
City NEW YORK
State NY
ZIP 10112
Phone 808 303-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2023
Certificate Expiration Date 3/26/2027
Facility Type Independent
Lab Director DR. VICTOR POLITI

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