33D1107528 CLIA NUMBER - ST MARY'S CENTER INC

Laboratory Demographics

  • CLIA Code: 33D1107528
  • Facility Name: ST MARY'S CENTER INC
  • Facility Address: 512 W 126TH STREET
    NEW YORK, NY
    ZIP 10027
  • Facility Phone: 212 665-5992
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ESTHER CHIJOKE
  • NPI Number: 1972599322
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D1107528
LAB Type Community Clinic
Facility Name ST MARY'S CENTER INC
Street 512 W 126TH STREET
City NEW YORK
State NY
ZIP 10027
Phone 212 665-5992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2009
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. ESTHER CHIJOKE

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