33D2210671 CLIA NUMBER - YMCA OF GREATER NY - COUNSELING SERVICE BRANCH

Laboratory Demographics

  • CLIA Code: 33D2210671
  • Facility Name: YMCA OF GREATER NY - COUNSELING SERVICE BRANCH
  • Facility Address: 3911 RICHMOND AVE
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 718 948-3232
  • Facility Type: Other - OASAS OUTPATIENT FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. SUZY BIBAWY
  • NPI Number: 1962840496
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2210671
LAB Type Other - OASAS OUTPATIENT FACILITY
Facility Name YMCA OF GREATER NY - COUNSELING SERVICE BRANCH
Street 3911 RICHMOND AVE
City STATEN ISLAND
State NY
ZIP 10312
Phone 718 948-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2021
Certificate Expiration Date 3/26/2027
Facility Type Other - OASAS OUTPATIENT FACILITY
Lab Director DR. SUZY BIBAWY

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