33D2075202 CLIA NUMBER - WELL CARE OB & GYN PC

Laboratory Demographics

  • CLIA Code: 33D2075202
  • Facility Name: WELL CARE OB & GYN PC
  • Facility Address: 1665 GRAND CONCOURSE, SUITE A
    BRONX, NY
    ZIP 10452
  • Facility Phone: 718 294-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RUCHI AGARWAL
  • NPI Number: 1285084251
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D2075202
LAB Type Physician Office
Facility Name WELL CARE OB & GYN PC
Street 1665 GRAND CONCOURSE, SUITE A
City BRONX
State NY
ZIP 10452
Phone 718 294-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director DR. RUCHI AGARWAL

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This page was last updated on: 6/4/2025