33D1093198 CLIA NUMBER - R GUILLEN, MD PC

Laboratory Demographics

  • CLIA Code: 33D1093198
  • Facility Name: R GUILLEN, MD PC
  • Facility Address: 800 GRAND CONCOURSE - FRONT OFFICE #5
    BRONX, NY
    ZIP 10451
  • Facility Phone: 718 401-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFAEL A. GUILLEN
  • NPI Number: 1467612499
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1093198
LAB Type Physician Office
Facility Name R GUILLEN, MD PC
Street 800 GRAND CONCOURSE - FRONT OFFICE #5
City BRONX
State NY
ZIP 10451
Phone 718 401-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director RAFAEL A. GUILLEN

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