33D0674138 CLIA NUMBER - GOUVERNEUR HOSPITAL NF/DTC LABORATORY

Laboratory Demographics

  • CLIA Code: 33D0674138
  • Facility Name: GOUVERNEUR HOSPITAL NF/DTC LABORATORY
  • Facility Address: 227 MADISON ST - 1ST FLOOR
    NEW YORK, NY
    ZIP 10002
  • Facility Phone: 212 238-7044
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. FAISAL M. HUQ RONNY
  • NPI Number: 1588687875
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 33D0674138
LAB Type Community Clinic
Facility Name GOUVERNEUR HOSPITAL NF/DTC LABORATORY
Street 227 MADISON ST - 1ST FLOOR
City NEW YORK
State NY
ZIP 10002
Phone 212 238-7044
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/3/1995
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. FAISAL M. HUQ RONNY

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