33D2212414 CLIA NUMBER - CEDI MEDICAL OFFICE, PLLC

Laboratory Demographics

  • CLIA Code: 33D2212414
  • Facility Name: CEDI MEDICAL OFFICE, PLLC
  • Facility Address: 2940 GRAND CONCOURSE, UNIT 1A-B
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 220-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KWABENA BOAKYE
  • NPI Number: 1992310411
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2212414
LAB Type Physician Office
Facility Name CEDI MEDICAL OFFICE, PLLC
Street 2940 GRAND CONCOURSE, UNIT 1A-B
City BRONX
State NY
ZIP 10458
Phone 718 220-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director KWABENA BOAKYE

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