33D2139721 CLIA NUMBER - BRONX URGENT CARE, PC

Laboratory Demographics

CLIA Number: 33D2139721

Facility Name: BRONX URGENT CARE, PC

Facility Address:
1733 E 174TH STREET
BRONX, NY
ZIP 10472
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Facility Phone Number: 718 994-2273

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093246274

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2139721
LAB Type	Physician Office
Facility Name	BRONX URGENT CARE, PC
Street	1733 E 174TH STREET
City	BRONX
State	NY
ZIP	10472
Phone	718 994-2273
CertificateType	4
CertificateEffectiveDate	11/17/2022
CertificateExpirationDate	11/16/2024
FacilityType	Waiver

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