33D2275245 CLIA NUMBER - HARLEM HEALTH CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 33D2275245
  • Facility Name: HARLEM HEALTH CENTER LABORATORY
  • Facility Address: 158 W 124TH ST
    NEW YORK, NY
    ZIP 10027
  • Facility Phone: 332 243-0100
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. XEQUIEL HERNANDEZ
  • NPI Number: 1225257587
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2275245
LAB Type Ancillary Testing Site in Health Care Center
Facility Name HARLEM HEALTH CENTER LABORATORY
Street 158 W 124TH ST
City NEW YORK
State NY
ZIP 10027
Phone 332 243-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2023
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. XEQUIEL HERNANDEZ

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