33D0962967 CLIA NUMBER - JUAN T ESTEVEZ MD PC

Laboratory Demographics

  • CLIA Code: 33D0962967
  • Facility Name: JUAN T ESTEVEZ MD PC
  • Facility Address: 375 E FORDHAM RD 2 FL
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 584-3826
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN T. ESTEVEZ
  • NPI Number: 1689731614
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0962967
LAB Type Physician Office
Facility Name JUAN T ESTEVEZ MD PC
Street 375 E FORDHAM RD 2 FL
City BRONX
State NY
ZIP 10458
Phone 718 584-3826
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director JUAN T. ESTEVEZ

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