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

Laboratory Demographics

CLIA Number: 33D2076381

Facility Name: MONTEFIORE DERMATOLOGY CLINIC- MOHS LABORATORY AT HUTCHINSON CENTER

Facility Address:
1250 WATERS PLACE RM 6-115
BRONX, NY
ZIP 10461
Get Directions

Facility Phone Number: 929 263-3486

Facility Type: Ambulatory Surgery Center

Certificate Type: Certificate of Compliance

NPI Number: 1306990478

Taxonomy: 261QR0208X - Clinic/Center

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
CertificateType 2
CertificateEffectiveDate 4/17/2014
CertificateExpirationDate 3/26/2027
FacilityType Compliance

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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