33D1060601 CLIA NUMBER - WHITE PLAINS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 33D1060601
  • Facility Name: WHITE PLAINS PRIMARY CARE
  • Facility Address: 3853 WHITE PLAINS ROAD
    BRONX, NY
    ZIP 10467
  • Facility Phone: (347) 697-7168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMMANUEL K. PEPRAH
  • NPI Number: 1619987211
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 33D1060601
LAB Type Physician Office
Facility Name WHITE PLAINS PRIMARY CARE
Street 3853 WHITE PLAINS ROAD
City BRONX
State NY
ZIP 10467
Phone 3476977168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DR. EMMANUEL K. PEPRAH

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This page was last updated on: 6/29/2026