33D1020740 CLIA NUMBER - SUSAN'S PLACE

Laboratory Demographics

  • CLIA Code: 33D1020740
  • Facility Name: SUSAN'S PLACE
  • Facility Address: 1911 JEROME AVENUE
    BRONX, NY
    ZIP 10453
  • Facility Phone: 718 943-1341
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. TAWANA P. HILL
  • NPI Number: 1013154657
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1020740
LAB Type Community Clinic
Facility Name SUSAN'S PLACE
Street 1911 JEROME AVENUE
City BRONX
State NY
ZIP 10453
Phone 718 943-1341
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/27/2011
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. TAWANA P. HILL

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