33D2313435 CLIA NUMBER - UPPER WEST SIDE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D2313435
  • Facility Name: UPPER WEST SIDE DERMATOLOGY
  • Facility Address: 330 WEST 58TH STREET SUITE 407
    NEW YORK, NY
    ZIP 10019
  • Facility Phone: 212 769-0069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH YAGERMAN
  • NPI Number: 1427270727
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2313435
LAB Type Physician Office
Facility Name UPPER WEST SIDE DERMATOLOGY
Street 330 WEST 58TH STREET SUITE 407
City NEW YORK
State NY
ZIP 10019
Phone 212 769-0069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director SARAH YAGERMAN

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