33D2029160 CLIA NUMBER - BRONX PSYCHIATRIC CENTER

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Laboratory Demographics

CLIA Number: 33D2029160

Facility Name: BRONX PSYCHIATRIC CENTER

Facility Address:
1500 WATERS PLACE
BRONX, NY
ZIP 10461
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Facility Phone Number: 929 348-4003

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1700943917

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	33D2029160
LAB Type	Hospital
Facility Name	BRONX PSYCHIATRIC CENTER
Street	1500 WATERS PLACE
City	BRONX
State	NY
ZIP	10461
Phone	929 348-4003
CertificateType	4
CertificateEffectiveDate	9/1/2011
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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