33D2275732 CLIA NUMBER - MY MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2275732
  • Facility Name: MY MEDICAL CARE PC
  • Facility Address: 315 MADISON AVE, FL 17
    NEW YORK, NY
    ZIP 10017
  • Facility Phone: 212 365-5066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KAORU MIYAZAKI
  • NPI Number: 1154048353
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2275732
LAB Type Physician Office
Facility Name MY MEDICAL CARE PC
Street 315 MADISON AVE, FL 17
City NEW YORK
State NY
ZIP 10017
Phone 212 365-5066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director DR. KAORU MIYAZAKI

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