33D2008084 CLIA NUMBER - BROADWAY MEDICAL SERVICES, PC

Laboratory Demographics

  • CLIA Code: 33D2008084
  • Facility Name: BROADWAY MEDICAL SERVICES, PC
  • Facility Address: 75 SOUTH BROADWAY
    YONKERS, NY
    ZIP 10701
  • Facility Phone: 914 376-7767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD KHALIL
  • NPI Number: 1083853360
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2008084
LAB Type Physician Office
Facility Name BROADWAY MEDICAL SERVICES, PC
Street 75 SOUTH BROADWAY
City YONKERS
State NY
ZIP 10701
Phone 914 376-7767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. RICHARD KHALIL

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