33D2124334 CLIA NUMBER - AMTH MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2124334
  • Facility Name: AMTH MEDICAL PC
  • Facility Address: 369 EAST 149TH STREET, 4TH FLOOR
    BRONX, NY
    ZIP 10455
  • Facility Phone: 718 665-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADEGBOYEGA T. ADEBAYO
  • NPI Number: 1003274937
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2124334
LAB Type Physician Office
Facility Name AMTH MEDICAL PC
Street 369 EAST 149TH STREET, 4TH FLOOR
City BRONX
State NY
ZIP 10455
Phone 718 665-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director DR. ADEGBOYEGA T. ADEBAYO

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