33D2124248 CLIA NUMBER - MID-BRONX ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 33D2124248
  • Facility Name: MID-BRONX ENDOSCOPY CENTER LLC
  • Facility Address: 51 W BURNSIDE AVENUE
    BRONX, NY
    ZIP 10453
  • Facility Phone: 917 791-6004
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PROSPERE REMY
  • NPI Number: 1023551413
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2124248
LAB Type Ambulatory Surgery Center
Facility Name MID-BRONX ENDOSCOPY CENTER LLC
Street 51 W BURNSIDE AVENUE
City BRONX
State NY
ZIP 10453
Phone 917 791-6004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2017
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. PROSPERE REMY

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