33D1073293 CLIA NUMBER - SUN RIVER HEALTH 1543 INWOOD AVENUE

Laboratory Demographics

  • CLIA Code: 33D1073293
  • Facility Name: SUN RIVER HEALTH 1543 INWOOD AVENUE
  • Facility Address: 1543 INWOOD AVENUE
    BRONX, NY
    ZIP 10452
  • Facility Phone: 718 681-8700
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA F. ASCHER
  • NPI Number: 1508349259
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1073293
LAB Type Community Clinic
Facility Name SUN RIVER HEALTH 1543 INWOOD AVENUE
Street 1543 INWOOD AVENUE
City BRONX
State NY
ZIP 10452
Phone 718 681-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2007
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. AMANDA F. ASCHER

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