33D1034834 CLIA NUMBER - LUIZA GUSEYNOV PHYSICIAN PLLC

Laboratory Demographics

  • CLIA Code: 33D1034834
  • Facility Name: LUIZA GUSEYNOV PHYSICIAN PLLC
  • Facility Address: 3108 KINGSBRIDGE AVENUE, GROUND FLOOR
    BRONX, NY
    ZIP 10463
  • Facility Phone: (718) 432-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUIZA GUSEYNOV
  • NPI Number: 1629384342
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1034834
LAB Type Physician Office
Facility Name LUIZA GUSEYNOV PHYSICIAN PLLC
Street 3108 KINGSBRIDGE AVENUE, GROUND FLOOR
City BRONX
State NY
ZIP 10463
Phone 7184320200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director DR. LUIZA GUSEYNOV

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This page was last updated on: 5/18/2026