33D2277650 CLIA NUMBER - DYM PLASTIC SURGERY, PC

Laboratory Demographics

  • CLIA Code: 33D2277650
  • Facility Name: DYM PLASTIC SURGERY, PC
  • Facility Address: 1100 PARK AVENUE, 1B
    NEW YORK, NY
    ZIP 10128
  • Facility Phone: 212 920-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL Y. MAMAN
  • NPI Number: 1780221804
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2277650
LAB Type Physician Office
Facility Name DYM PLASTIC SURGERY, PC
Street 1100 PARK AVENUE, 1B
City NEW YORK
State NY
ZIP 10128
Phone 212 920-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director DR. DANIEL Y. MAMAN

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