33D2167634 CLIA NUMBER - ST BARNABAS BEHAVIORAL HEALTH ADULT OUT PATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 33D2167634
  • Facility Name: ST BARNABAS BEHAVIORAL HEALTH ADULT OUT PATIENT CLINIC
  • Facility Address: 260 188TH STREET
    BRONX, NY
    ZIP 10457
  • Facility Phone: 718 960-3376
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. PABLO IBANEZ
  • NPI Number: 1215038096
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D2167634
LAB Type Community Clinic
Facility Name ST BARNABAS BEHAVIORAL HEALTH ADULT OUT PATIENT CLINIC
Street 260 188TH STREET
City BRONX
State NY
ZIP 10457
Phone 718 960-3376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2019
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. PABLO IBANEZ

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