33D2030616 CLIA NUMBER - MACE AVENUE MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 33D2030616
  • Facility Name: MACE AVENUE MEDICAL, PC
  • Facility Address: 2460 MICKLE AVENUE
    BRONX, NY
    ZIP 10469
  • Facility Phone: 718 652-4647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT D. PINTAURO
  • NPI Number: 1669607255
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2030616
LAB Type Physician Office
Facility Name MACE AVENUE MEDICAL, PC
Street 2460 MICKLE AVENUE
City BRONX
State NY
ZIP 10469
Phone 718 652-4647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director DR. ROBERT D. PINTAURO

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