33D0147375 CLIA NUMBER - ELLIOT LEDERMAN MD PC

Laboratory Demographics

  • CLIA Code: 33D0147375
  • Facility Name: ELLIOT LEDERMAN MD PC
  • Facility Address: 1013 AVENUE J, APT 1 A
    BROOKLYN, NY
    ZIP 11230
  • Facility Phone: 718 627-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELLIOT LEDERMAN
  • NPI Number: 1134284284
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0147375
LAB Type Physician Office
Facility Name ELLIOT LEDERMAN MD PC
Street 1013 AVENUE J, APT 1 A
City BROOKLYN
State NY
ZIP 11230
Phone 718 627-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director DR. ELLIOT LEDERMAN

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