Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
33D2192920
|
|
Clinical laboratory number
|
|
Lab Name
|
WG 86TH STREET SH LLC
|
|
Laboratory Name
|
|
Lab Type
|
Assisted Living Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
212-712-0200
|
|
Laboratory telephone number
|
|
Fax
|
502-779-4749
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
333 W 86TH ST
|
|
Primary location adress line
|
|
City
|
NEW YORK
|
|
Primary location city name
|
|
State
|
NY
|
|
Primary location state name
|
|
Zip
|
10024
|
|
Primary location postal code
|