33D0932052 CLIA NUMBER - JESUS M HERNANDEZ MD PC

Laboratory Demographics

  • CLIA Code: 33D0932052
  • Facility Name: JESUS M HERNANDEZ MD PC
  • Facility Address: 271 FORT WASHINGTON AVE SUITE AA
    NEW YORK, NY
    ZIP 10032
  • Facility Phone: 212 740-2270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESUS M. HERNANDEZ
  • NPI Number: 1083750913
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 33D0932052
LAB Type Physician Office
Facility Name JESUS M HERNANDEZ MD PC
Street 271 FORT WASHINGTON AVE SUITE AA
City NEW YORK
State NY
ZIP 10032
Phone 212 740-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director JESUS M. HERNANDEZ

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