33D1060091 CLIA NUMBER - NEW YORK GI CENTER LLC

Laboratory Demographics

CLIA Number: 33D1060091

Facility Name: NEW YORK GI CENTER LLC

Facility Address:
1200 WATERS PLACE
BRONX, NY
ZIP 10461
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Facility Phone Number: 718 863-0575

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1336258128

Taxonomy: 261QE0800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1060091
LAB Type	Ambulatory Surgery Center
Facility Name	NEW YORK GI CENTER LLC
Street	1200 WATERS PLACE
City	BRONX
State	NY
ZIP	10461
Phone	718 863-0575
CertificateType	4
CertificateEffectiveDate	10/16/2006
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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