33D2075539 CLIA NUMBER - SJR MEDICAL PC ST JOHN'S MEDICAL GROUP HARTSDALE

Laboratory Demographics

  • CLIA Code: 33D2075539
  • Facility Name: SJR MEDICAL PC ST JOHN'S MEDICAL GROUP HARTSDALE
  • Facility Address: 141 S CENTRAL AVE
    HARTSDALE, NY
    ZIP 10530
  • Facility Phone: 914 713-3228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARIA LUFRANO
  • NPI Number: 1568436319
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2075539
LAB Type Physician Office
Facility Name SJR MEDICAL PC ST JOHN'S MEDICAL GROUP HARTSDALE
Street 141 S CENTRAL AVE
City HARTSDALE
State NY
ZIP 10530
Phone 914 713-3228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MARIA LUFRANO

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