33D2292706 CLIA NUMBER - NORTHERN MEDICAL SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 33D2292706
  • Facility Name: NORTHERN MEDICAL SERVICES PLLC
  • Facility Address: 130 FORT WASHINGTON AVE - SUITE B1
    NEW YORK, NY
    ZIP 10032
  • Facility Phone: (212) 543-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IGOR BURKO
  • NPI Number: 1467145342
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D2292706
LAB Type Physician Office
Facility Name NORTHERN MEDICAL SERVICES PLLC
Street 130 FORT WASHINGTON AVE - SUITE B1
City NEW YORK
State NY
ZIP 10032
Phone 2125431700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. IGOR BURKO

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This page was last updated on: 5/18/2026