33D2118743 CLIA NUMBER - MOUNT SINAI SCHOOL BASED CENTER AT IS45

Laboratory Demographics

  • CLIA Code: 33D2118743
  • Facility Name: MOUNT SINAI SCHOOL BASED CENTER AT IS45
  • Facility Address: 2351 FIRST AVE
    NEW YORK, NY
    ZIP 10035
  • Facility Phone: 212 241-8015
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: DR. KENYA M. PARKS
  • NPI Number: 1619944683
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2118743
LAB Type School/Student Health Service
Facility Name MOUNT SINAI SCHOOL BASED CENTER AT IS45
Street 2351 FIRST AVE
City NEW YORK
State NY
ZIP 10035
Phone 212 241-8015
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/14/2016
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director DR. KENYA M. PARKS

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