33D2255502 CLIA NUMBER - CROTONA PARKWAY ASC

Laboratory Demographics

  • CLIA Code: 33D2255502
  • Facility Name: CROTONA PARKWAY ASC
  • Facility Address: 1976 CROTONA PKWY - 2A
    BRONX, NY
    ZIP 10460
  • Facility Phone: 718 307-5700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. BOLESLAV KOSHARSKYY
  • NPI Number: 1922754605
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2255502
LAB Type Ambulatory Surgery Center
Facility Name CROTONA PARKWAY ASC
Street 1976 CROTONA PKWY - 2A
City BRONX
State NY
ZIP 10460
Phone 718 307-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2022
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. BOLESLAV KOSHARSKYY

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