33D0136101 CLIA NUMBER - MARCO HERNANDEZ MD, PC

Laboratory Demographics

  • CLIA Code: 33D0136101
  • Facility Name: MARCO HERNANDEZ MD, PC
  • Facility Address: 1024 EAST 163RD STREET
    BRONX, NY
    ZIP 10459
  • Facility Phone: 718 542-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCO HERNANDEZ
  • NPI Number: 1043304405
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0136101
LAB Type Physician Office
Facility Name MARCO HERNANDEZ MD, PC
Street 1024 EAST 163RD STREET
City BRONX
State NY
ZIP 10459
Phone 718 542-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARCO HERNANDEZ

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