33D2059012 CLIA NUMBER - MONTEFIORE DERMATOLOGY CLINIC - MOHS LABORATORY

Laboratory Demographics

  • CLIA Code: 33D2059012
  • Facility Name: MONTEFIORE DERMATOLOGY CLINIC - MOHS LABORATORY
  • Facility Address: 3514 BAINBRIDGE AVE
    BRONX, NY
    ZIP 10467
  • Facility Phone: (718) 231-2997
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAVID H. CIOCON
  • NPI Number: 1831457894
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2059012
LAB Type Physician Office
Facility Name MONTEFIORE DERMATOLOGY CLINIC - MOHS LABORATORY
Street 3514 BAINBRIDGE AVE
City BRONX
State NY
ZIP 10467
Phone 7182312997
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/16/2013
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. DAVID H. CIOCON

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This page was last updated on: 5/18/2026