33D2002820 CLIA NUMBER - DIVINO NINO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2002820
  • Facility Name: DIVINO NINO PEDIATRICS
  • Facility Address: 557 EAST FORDHAM ROAD
    BRONX, NY
    ZIP 10458
  • Facility Phone: 347 590-0660
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DENISE NUNEZ
  • NPI Number: 1891929311
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2002820
LAB Type Physician Office
Facility Name DIVINO NINO PEDIATRICS
Street 557 EAST FORDHAM ROAD
City BRONX
State NY
ZIP 10458
Phone 347 590-0660
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director DR. DENISE NUNEZ

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