33D2076381 CLIA NUMBER - MONTEFIORE DERMATOLOGY CLINIC- MOHS LABORATORY AT HUTCHINSON CENTER

Laboratory Demographics

  • CLIA Code: 33D2076381
  • Facility Name: MONTEFIORE DERMATOLOGY CLINIC- MOHS LABORATORY AT HUTCHINSON CENTER
  • Facility Address: 1250 WATERS PLACE RM 6-115
    BRONX, NY
    ZIP 10461
  • Facility Phone: 929 263-3486
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAVID H. CIOCON
  • NPI Number: 1306990478
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2076381
LAB Type Ambulatory Surgery Center
Facility Name MONTEFIORE DERMATOLOGY CLINIC- MOHS LABORATORY AT HUTCHINSON CENTER
Street 1250 WATERS PLACE RM 6-115
City BRONX
State NY
ZIP 10461
Phone 929 263-3486
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 4/17/2014
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. DAVID H. CIOCON

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