33D0133374 CLIA NUMBER - CENTER FOR COMPREHENSIVE HEALTH PRACTICE

Laboratory Demographics

  • CLIA Code: 33D0133374
  • Facility Name: CENTER FOR COMPREHENSIVE HEALTH PRACTICE
  • Facility Address: 35 E 110TH ST - 4TH FLOOR
    NEW YORK, NY
    ZIP 10029
  • Facility Phone: 212 360-7874
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MARIELY FERNANDEZ
  • NPI Number: 1548644255
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 33D0133374
LAB Type Community Clinic
Facility Name CENTER FOR COMPREHENSIVE HEALTH PRACTICE
Street 35 E 110TH ST - 4TH FLOOR
City NEW YORK
State NY
ZIP 10029
Phone 212 360-7874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1994
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. MARIELY FERNANDEZ

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