33D0147714 CLIA NUMBER - OCEAN PARKWAY PEDIATRIC PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D0147714
  • Facility Name: OCEAN PARKWAY PEDIATRIC PRACTICE PC
  • Facility Address: 515 AVENUE I
    BROOKLYN, NY
    ZIP 11230
  • Facility Phone: (718) 377-8800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MADHU RAJARAM
  • NPI Number: 1285706218
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0147714
LAB Type Physician Office
Facility Name OCEAN PARKWAY PEDIATRIC PRACTICE PC
Street 515 AVENUE I
City BROOKLYN
State NY
ZIP 11230
Phone 7183778800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director DR. MADHU RAJARAM

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This page was last updated on: 5/18/2026