33D1017722 CLIA NUMBER - MONTEFIORE MEDICAL GROUP FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D1017722
  • Facility Name: MONTEFIORE MEDICAL GROUP FAMILY HEALTH CENTER
  • Facility Address: ONE FORDHAM PLAZA - 5TH FLOOR
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 933-2400
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. AMY S. FOX
  • NPI Number: 1265591168
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D1017722
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MONTEFIORE MEDICAL GROUP FAMILY HEALTH CENTER
Street ONE FORDHAM PLAZA - 5TH FLOOR
City BRONX
State NY
ZIP 10458
Phone 718 933-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2015
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. AMY S. FOX

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