33D1070430 CLIA NUMBER - CORE HEALTH MEDICAL PC

Laboratory Demographics

CLIA Number: 33D1070430

Facility Name: CORE HEALTH MEDICAL PC

Facility Address:
3844 EAST TREMONT AVENUE
BRONX, NY
ZIP 10465
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Facility Phone Number: 718 822-0122

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1124212683

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	33D1070430
LAB Type	Physician Office
Facility Name	CORE HEALTH MEDICAL PC
Street	3844 EAST TREMONT AVENUE
City	BRONX
State	NY
ZIP	10465
Phone	718 822-0122
CertificateType	2
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Compliance

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