33D2023927 CLIA NUMBER - MEDCAREPLUS, PLLC

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Laboratory Demographics

CLIA Number: 33D2023927

Facility Name: MEDCAREPLUS, PLLC

Facility Address:
1643 WESTCHESTER AVENUE
BRONX, NY
ZIP 10472
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Facility Phone Number: 718 328-1900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265720221

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2023927
LAB Type	Physician Office
Facility Name	MEDCAREPLUS, PLLC
Street	1643 WESTCHESTER AVENUE
City	BRONX
State	NY
ZIP	10472
Phone	718 328-1900
CertificateType	4
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024