33D2071979 CLIA NUMBER - ADVANCED ACCESS MEDICAL CARE

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Laboratory Demographics

CLIA Number: 33D2071979

Facility Name: ADVANCED ACCESS MEDICAL CARE

Facility Address:
1733 EASTCHESTER RD - SUITE 2
BRONX, NY
ZIP 10461
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Facility Phone Number: 718 409-2007

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1518911221

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2071979
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	ADVANCED ACCESS MEDICAL CARE
Street	1733 EASTCHESTER RD - SUITE 2
City	BRONX
State	NY
ZIP	10461
Phone	718 409-2007
CertificateType	4
CertificateEffectiveDate	1/22/2014
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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