33D1080740 CLIA NUMBER - WAKEFIELD PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D1080740
  • Facility Name: WAKEFIELD PEDIATRICS PLLC
  • Facility Address: 4813 WHITE PLAINS ROAD
    BRONX, NY
    ZIP 10470
  • Facility Phone: 718 882-2835
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP OWUSU-ANSAH
  • NPI Number: 1558532796
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1080740
LAB Type Physician Office
Facility Name WAKEFIELD PEDIATRICS PLLC
Street 4813 WHITE PLAINS ROAD
City BRONX
State NY
ZIP 10470
Phone 718 882-2835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. PHILIP OWUSU-ANSAH

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