33D1060081 CLIA NUMBER - ADVANCED ENDOSCOPY CENTER

Laboratory Demographics

CLIA Number: 33D1060081

Facility Name: ADVANCED ENDOSCOPY CENTER

Facility Address:
5500 BROADWAY - SUITE A
BRONX, NY
ZIP 10463
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Facility Phone Number: 718 548-7900

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1336252402

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1060081
LAB Type	Ambulatory Surgery Center
Facility Name	ADVANCED ENDOSCOPY CENTER
Street	5500 BROADWAY - SUITE A
City	BRONX
State	NY
ZIP	10463
Phone	718 548-7900
CertificateType	4
CertificateEffectiveDate	10/13/2006
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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