33D2292124 CLIA NUMBER - BELLEVUE DERMATOLOGY MOHS LAB

Laboratory Demographics

  • CLIA Code: 33D2292124
  • Facility Name: BELLEVUE DERMATOLOGY MOHS LAB
  • Facility Address: 462 FIRST AVE, AMB CARE BUILDING, 4TH FL
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 562-5670
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARESSA C. CRISCITO
  • NPI Number: 1386763985
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2292124
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BELLEVUE DERMATOLOGY MOHS LAB
Street 462 FIRST AVE, AMB CARE BUILDING, 4TH FL
City NEW YORK
State NY
ZIP 10016
Phone 212 562-5670
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MARESSA C. CRISCITO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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