33D2313909 CLIA NUMBER - SUN RIVER HEALTH - 57 BAY STREET

Laboratory Demographics

  • CLIA Code: 33D2313909
  • Facility Name: SUN RIVER HEALTH - 57 BAY STREET
  • Facility Address: 57 BAY ST
    STATEN ISLAND, NY
    ZIP 10301
  • Facility Phone: 718 947-3196
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA F. ASCHER
  • NPI Number: 1174006803
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2313909
LAB Type Federally Qualified Health Center
Facility Name SUN RIVER HEALTH - 57 BAY STREET
Street 57 BAY ST
City STATEN ISLAND
State NY
ZIP 10301
Phone 718 947-3196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DR. AMANDA F. ASCHER

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