33D0881474 CLIA NUMBER - MT VERNON NEIGHBORHOOD HEALTH CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 33D0881474
  • Facility Name: MT VERNON NEIGHBORHOOD HEALTH CENTER LABORATORY
  • Facility Address: 107 WEST 4TH ST
    MOUNT VERNON, NY
    ZIP 10550
  • Facility Phone: 914 699-7200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. MARKOS ASAMENEW
  • NPI Number: 1811587348
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D0881474
LAB Type Federally Qualified Health Center
Facility Name MT VERNON NEIGHBORHOOD HEALTH CENTER LABORATORY
Street 107 WEST 4TH ST
City MOUNT VERNON
State NY
ZIP 10550
Phone 914 699-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2021
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. MARKOS ASAMENEW

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