33D2192885 CLIA NUMBER - BRONXCARE - MOUNT SINAI COMPREHENSIVE CANCER CARE

Laboratory Demographics

  • CLIA Code: 33D2192885
  • Facility Name: BRONXCARE - MOUNT SINAI COMPREHENSIVE CANCER CARE
  • Facility Address: 1775 GRAND CONCOURSE - 4TH FL
    BRONX, NY
    ZIP 10457
  • Facility Phone: 718 239-8359
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. AAM A. BAQUI
  • NPI Number: 1053790147
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2192885
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BRONXCARE - MOUNT SINAI COMPREHENSIVE CANCER CARE
Street 1775 GRAND CONCOURSE - 4TH FL
City BRONX
State NY
ZIP 10457
Phone 718 239-8359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2020
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. AAM A. BAQUI

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