33D1059664 CLIA NUMBER - LA CASA DE SALUD INC

Laboratory Demographics

  • CLIA Code: 33D1059664
  • Facility Name: LA CASA DE SALUD INC
  • Facility Address: 966 PROSPECT AVE
    BRONX, NY
    ZIP 10459
  • Facility Phone: 718 842-1412
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. DAVID COLLYMORE
  • NPI Number: 1548260870
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1059664
LAB Type Community Clinic
Facility Name LA CASA DE SALUD INC
Street 966 PROSPECT AVE
City BRONX
State NY
ZIP 10459
Phone 718 842-1412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2009
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. DAVID COLLYMORE

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