33D0147899 CLIA NUMBER - ATLANTIC DERMATOLOGIC ASSOCIATES LLP

Laboratory Demographics

CLIA Number: 33D0147899

Facility Name: ATLANTIC DERMATOLOGIC ASSOCIATES LLP

Facility Address:
2270 KIMBALL STREET, SUITE 201
BROOKLYN, NY
ZIP 11234
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Facility Phone Number: 718 253-4550

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1922274182

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D0147899
LAB Type	Physician Office
Facility Name	ATLANTIC DERMATOLOGIC ASSOCIATES LLP
Street	2270 KIMBALL STREET, SUITE 201
City	BROOKLYN
State	NY
ZIP	11234
Phone	718 253-4550
CertificateType	2
CertificateEffectiveDate	1/13/2023
CertificateExpirationDate	1/12/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024