33D2248654 CLIA NUMBER - HAWTHORNE FOUNDATION INC DBA HAWTHORNE COUNTRY DAY SCHOIOL

Laboratory Demographics

  • CLIA Code: 33D2248654
  • Facility Name: HAWTHORNE FOUNDATION INC DBA HAWTHORNE COUNTRY DAY SCHOIOL
  • Facility Address: 5 BRADHURST AVE
    HAWTHORNE, NY
    ZIP 10532
  • Facility Phone: 914 592-8526
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. NELSON M. FAZIO
  • NPI Number: 1225275613
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 33D2248654
LAB Type School/Student Health Service
Facility Name HAWTHORNE FOUNDATION INC DBA HAWTHORNE COUNTRY DAY SCHOIOL
Street 5 BRADHURST AVE
City HAWTHORNE
State NY
ZIP 10532
Phone 914 592-8526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2022
Certificate Expiration Date 3/26/2027
Facility Type School/Student Health Service
Lab Director DR. NELSON M. FAZIO

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