33D0719791 CLIA NUMBER - UNIVERSITY CENTER FOR REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 33D0719791
  • Facility Name: UNIVERSITY CENTER FOR REHABILITATION AND NURSING
  • Facility Address: 2505 GRAND AVE
    BRONX, NY
    ZIP 10468
  • Facility Phone: 718 295-1400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHERVIN MORTAZAVI
  • NPI Number: 1811005010
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D0719791
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UNIVERSITY CENTER FOR REHABILITATION AND NURSING
Street 2505 GRAND AVE
City BRONX
State NY
ZIP 10468
Phone 718 295-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2006
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SHERVIN MORTAZAVI

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