33D1047084 CLIA NUMBER - GODWIN MEDICAL PC LUISA PEREZ MD

Laboratory Demographics

  • CLIA Code: 33D1047084
  • Facility Name: GODWIN MEDICAL PC LUISA PEREZ MD
  • Facility Address: 231 WEST 231ST STREET, STE 1B
    BRONX, NY
    ZIP 10463
  • Facility Phone: 347 587-4020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUISA PEREZ
  • NPI Number: 1679749808
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1047084
LAB Type Physician Office
Facility Name GODWIN MEDICAL PC LUISA PEREZ MD
Street 231 WEST 231ST STREET, STE 1B
City BRONX
State NY
ZIP 10463
Phone 347 587-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director DR. LUISA PEREZ

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