33D0959796 CLIA NUMBER - AAA PRIMARY MEDICAL CARE PC

Laboratory Demographics

CLIA Number: 33D0959796

Facility Name: AAA PRIMARY MEDICAL CARE PC

Facility Address:
1387 CASTLE HILL AVENUE
BRONX, NY
ZIP 10462
Get Directions

Facility Phone Number: 718 931-4200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518123405

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	33D0959796
LAB Type	Physician Office
Facility Name	AAA PRIMARY MEDICAL CARE PC
Street	1387 CASTLE HILL AVENUE
City	BRONX
State	NY
ZIP	10462
Phone	718 931-4200
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024