33D0861075 CLIA NUMBER - MARK B LEW, MD LLC PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 33D0861075
  • Facility Name: MARK B LEW, MD LLC PEDIATRIC CENTER
  • Facility Address: 2704 GLENWOOD ROAD
    BROOKLYN, NY
    ZIP 11210
  • Facility Phone: 718 859-6440
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARK B. LEW
  • NPI Number: 1851357560
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0861075
LAB Type Physician Office
Facility Name MARK B LEW, MD LLC PEDIATRIC CENTER
Street 2704 GLENWOOD ROAD
City BROOKLYN
State NY
ZIP 11210
Phone 718 859-6440
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 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director DR. MARK B. LEW

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