33D2311464 CLIA NUMBER - VIVIFY MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2311464
  • Facility Name: VIVIFY MEDICAL PLLC
  • Facility Address: 125 MAIDEN LANE RM 6B
    NEW YORK, NY
    ZIP 10038
  • Facility Phone: 212 480-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMNON BENIAMINOVITZ
  • NPI Number: 1669142055
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2311464
LAB Type Physician Office
Facility Name VIVIFY MEDICAL PLLC
Street 125 MAIDEN LANE RM 6B
City NEW YORK
State NY
ZIP 10038
Phone 212 480-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director DR. AMNON BENIAMINOVITZ

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