33D0138520 CLIA NUMBER - MOUNT VERNON HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 33D0138520

Facility Name: MOUNT VERNON HOSPITAL LABORATORY

Facility Address:
12 NORTH SEVENTH AVENUE
MOUNT VERNON, NY
ZIP 10550
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Facility Phone Number: 914 361-6283

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1275163792

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0138520
LAB Type	Hospital
Facility Name	MOUNT VERNON HOSPITAL LABORATORY
Street	12 NORTH SEVENTH AVENUE
City	MOUNT VERNON
State	NY
ZIP	10550
Phone	914 361-6283
CertificateType	2
CertificateEffectiveDate	8/28/1995
CertificateExpirationDate	3/26/2027
FacilityType	Compliance

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This page was last updated on: 4/23/2024