33D2305906 CLIA NUMBER - MOUNT SINAI DOCTORS 2875 BROADWAY

Laboratory Demographics

  • CLIA Code: 33D2305906
  • Facility Name: MOUNT SINAI DOCTORS 2875 BROADWAY
  • Facility Address: 2875 BROADWAY - 2ND FL
    NEW YORK, NY
    ZIP 10025
  • Facility Phone: 212 523-1100
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: DR. NYONNOWEH R. GREENE
  • NPI Number: 1194112458
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D2305906
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MOUNT SINAI DOCTORS 2875 BROADWAY
Street 2875 BROADWAY - 2ND FL
City NEW YORK
State NY
ZIP 10025
Phone 212 523-1100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. NYONNOWEH R. GREENE

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