33D2323816 CLIA NUMBER - BRONX COMMUNITY MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 33D2323816
  • Facility Name: BRONX COMMUNITY MEDICINE PLLC
  • Facility Address: 2676 GRAND CONCOURSE SUITE A
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 708-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOHANNA OLIVO
  • NPI Number: 1942645247
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2323816
LAB Type Physician Office
Facility Name BRONX COMMUNITY MEDICINE PLLC
Street 2676 GRAND CONCOURSE SUITE A
City BRONX
State NY
ZIP 10458
Phone 718 708-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director YOHANNA OLIVO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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