33D2164096 CLIA NUMBER - MEDRITE MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2164096
  • Facility Name: MEDRITE MEDICAL CARE PC
  • Facility Address: 177 DYCKMAN ST
    NEW YORK, NY
    ZIP 10040
  • Facility Phone: 212 935-3333
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. AUGUSTUS VALMOND
  • NPI Number: 1861949307
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2164096
LAB Type Community Clinic
Facility Name MEDRITE MEDICAL CARE PC
Street 177 DYCKMAN ST
City NEW YORK
State NY
ZIP 10040
Phone 212 935-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2020
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. AUGUSTUS VALMOND

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