33D2284108 CLIA NUMBER - GONZALEZ MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2284108
  • Facility Name: GONZALEZ MEDICAL PC
  • Facility Address: 435 FORT WASHINGTON AVE - APT 1H
    NEW YORK, NY
    ZIP 10033
  • Facility Phone: 212 795-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRIA R. GONZALEZ
  • NPI Number: 1366082166
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2284108
LAB Type Physician Office
Facility Name GONZALEZ MEDICAL PC
Street 435 FORT WASHINGTON AVE - APT 1H
City NEW YORK
State NY
ZIP 10033
Phone 212 795-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. PATRIA R. GONZALEZ

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