33D1089520 CLIA NUMBER - BRONX DERMATOLOGY LLC DBA FORDHAM DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D1089520
  • Facility Name: BRONX DERMATOLOGY LLC DBA FORDHAM DERMATOLOGY
  • Facility Address: 553 EAST FORDHAM ROAD
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 329-2959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DONALD A. SAVITZ
  • NPI Number: 1699955013
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D1089520
LAB Type Physician Office
Facility Name BRONX DERMATOLOGY LLC DBA FORDHAM DERMATOLOGY
Street 553 EAST FORDHAM ROAD
City BRONX
State NY
ZIP 10458
Phone 718 329-2959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director DR. DONALD A. SAVITZ

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