33D2281053 CLIA NUMBER - BRMC MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2281053
  • Facility Name: BRMC MEDICAL PLLC
  • Facility Address: 1262 BOSTON ROAD 2ND FLOOR SUITE 2
    BRONX, NY
    ZIP 10456
  • Facility Phone: 718 569-0889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORGE CORNIELLE
  • NPI Number: 1629358908
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2281053
LAB Type Physician Office
Facility Name BRMC MEDICAL PLLC
Street 1262 BOSTON ROAD 2ND FLOOR SUITE 2
City BRONX
State NY
ZIP 10456
Phone 718 569-0889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director DR. JORGE CORNIELLE

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