33D0934371 CLIA NUMBER - BROADWAY PEDIATRICS MD PC

Laboratory Demographics

  • CLIA Code: 33D0934371
  • Facility Name: BROADWAY PEDIATRICS MD PC
  • Facility Address: 4250 BROADWAY, SUITE 1 C
    NEW YORK, NY
    ZIP 10033
  • Facility Phone: 212 740-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSE F. PEREZ
  • NPI Number: 1891903837
  • Taxonomy: 2080H0002X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0934371
LAB Type Physician Office
Facility Name BROADWAY PEDIATRICS MD PC
Street 4250 BROADWAY, SUITE 1 C
City NEW YORK
State NY
ZIP 10033
Phone 212 740-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director DR. JOSE F. PEREZ

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