33D2130509 CLIA NUMBER - DIVINITY MEDICAL SERVICES PLLC DBA AFC URGENT CARE

Laboratory Demographics

  • CLIA Code: 33D2130509
  • Facility Name: DIVINITY MEDICAL SERVICES PLLC DBA AFC URGENT CARE
  • Facility Address: 332 EAST 149TH STREET
    BRONX, NY
    ZIP 10451
  • Facility Phone: 347 329-4010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAJESH GUPTA
  • NPI Number: 1962935163
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2130509
LAB Type Physician Office
Facility Name DIVINITY MEDICAL SERVICES PLLC DBA AFC URGENT CARE
Street 332 EAST 149TH STREET
City BRONX
State NY
ZIP 10451
Phone 347 329-4010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DR. RAJESH GUPTA

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