33D1057857 CLIA NUMBER - METRO COMMUNITY HEALTH CENTERS-BRONX

Laboratory Demographics

CLIA Number: 33D1057857

Facility Name: METRO COMMUNITY HEALTH CENTERS-BRONX

Facility Address:
979 CROSS BRONX EXPRESSWAY
BRONX, NY
ZIP 10460
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Facility Phone Number: 718 665-7565

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1841536554

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1057857
LAB Type	Community Clinic
Facility Name	METRO COMMUNITY HEALTH CENTERS-BRONX
Street	979 CROSS BRONX EXPRESSWAY
City	BRONX
State	NY
ZIP	10460
Phone	718 665-7565
CertificateType	4
CertificateEffectiveDate	8/23/2006
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024