33D2289857 CLIA NUMBER - ANDRADE MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2289857
  • Facility Name: ANDRADE MEDICAL PLLC
  • Facility Address: 1163 MANOR AVE - 2ND FLOOR
    BRONX, NY
    ZIP 10472
  • Facility Phone: 718 589-3501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ABDALLA I. ADAM
  • NPI Number: 1801123617
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2289857
LAB Type Physician Office
Facility Name ANDRADE MEDICAL PLLC
Street 1163 MANOR AVE - 2ND FLOOR
City BRONX
State NY
ZIP 10472
Phone 718 589-3501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2023
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ABDALLA I. ADAM

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