33D0140314 CLIA NUMBER - EXECUTIVE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0140314
  • Facility Name: EXECUTIVE PEDIATRICS
  • Facility Address: 984 NORTH BROADWAY - SUITE 506
    YONKERS, NY
    ZIP 10701
  • Facility Phone: 914 963-7668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OLIVER CARTANO
  • NPI Number: 1538373279
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0140314
LAB Type Physician Office
Facility Name EXECUTIVE PEDIATRICS
Street 984 NORTH BROADWAY - SUITE 506
City YONKERS
State NY
ZIP 10701
Phone 914 963-7668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2021
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. OLIVER CARTANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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