33D2184417 CLIA NUMBER - TRIBOROUGH ASC LLC

Laboratory Demographics

  • CLIA Code: 33D2184417
  • Facility Name: TRIBOROUGH ASC LLC
  • Facility Address: 550 E 180TH ST
    BRONX, NY
    ZIP 10457
  • Facility Phone: 747 239-4040
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MARK GLADSTEIN
  • NPI Number: 1720638497
  • Taxonomy: 208600000X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2184417
LAB Type Ambulatory Surgery Center
Facility Name TRIBOROUGH ASC LLC
Street 550 E 180TH ST
City BRONX
State NY
ZIP 10457
Phone 747 239-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2020
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MARK GLADSTEIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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