33D0136757 CLIA NUMBER - POURRAT MONAHEMI MD

Laboratory Demographics

  • CLIA Code: 33D0136757
  • Facility Name: POURRAT MONAHEMI MD
  • Facility Address: 3795 E TREMONT AVENUE
    BRONX, NY
    ZIP 10465
  • Facility Phone: 718 828-5564
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: POURRAT MONAHEMI
  • NPI Number: 1174617674
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0136757
LAB Type Physician Office
Facility Name POURRAT MONAHEMI MD
Street 3795 E TREMONT AVENUE
City BRONX
State NY
ZIP 10465
Phone 718 828-5564
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director POURRAT MONAHEMI

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