33D2067678 CLIA NUMBER - MERCEDES BLANCHE HERRERA LLC

Laboratory Demographics

  • CLIA Code: 33D2067678
  • Facility Name: MERCEDES BLANCHE HERRERA LLC
  • Facility Address: 396 BROADWAY
    NEWBURGH, NY
    ZIP 12550
  • Facility Phone: 845 764-4999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MERCEDES BLANCHE HERRERA
  • NPI Number: 1396905055
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2067678
LAB Type Physician Office
Facility Name MERCEDES BLANCHE HERRERA LLC
Street 396 BROADWAY
City NEWBURGH
State NY
ZIP 12550
Phone 845 764-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2013
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MERCEDES BLANCHE HERRERA

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