33D0148253 CLIA NUMBER - RICHARD S BERRY MD PC

Laboratory Demographics

CLIA Number: 33D0148253

Facility Name: RICHARD S BERRY MD PC

Facility Address:
1620A VOORHIES AVE
BROOKLYN, NY
ZIP 11235
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Facility Phone Number: 718 996-3000

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1497756183

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	33D0148253
LAB Type	Physician Office
Facility Name	RICHARD S BERRY MD PC
Street	1620A VOORHIES AVE
City	BROOKLYN
State	NY
ZIP	11235
Phone	718 996-3000
CertificateType	2
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Compliance

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