33D0912138 CLIA NUMBER - CHILDREN'S AID SOCIETY BRONX HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 33D0912138
  • Facility Name: CHILDREN'S AID SOCIETY BRONX HEALTH SERVICES
  • Facility Address: 910 E 172ND STREET
    BRONX, NY
    ZIP 10460
  • Facility Phone: 347 767-2200
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. JUSTIN J. KOPA
  • NPI Number: 1508294265
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0912138
LAB Type Community Clinic
Facility Name CHILDREN'S AID SOCIETY BRONX HEALTH SERVICES
Street 910 E 172ND STREET
City BRONX
State NY
ZIP 10460
Phone 347 767-2200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/12/1997
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. JUSTIN J. KOPA

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