33D0892678 CLIA NUMBER - BROOKLYN COLLEGE HEALTH CLINIC

Laboratory Demographics

CLIA Code: 33D0892678
Facility Name: BROOKLYN COLLEGE HEALTH CLINIC
Facility Address: 2900 BEDFORD AVE - 114 ROOSEVELT HALL
BROOKLYN, NY
ZIP 11210
Facility Phone: 718 951-5580
Facility Type: School/Student Health Service
Facility Type: Microscopy
Lab Director: DR. ILENE TANNENBAUM
NPI Number: 1518393719
Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	33D0892678
LAB Type	School/Student Health Service
Facility Name	BROOKLYN COLLEGE HEALTH CLINIC
Street	2900 BEDFORD AVE - 114 ROOSEVELT HALL
City	BROOKLYN
State	NY
ZIP	11210
Phone	718 951-5580
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	8/5/1999
Certificate Expiration Date	3/26/2027
Facility Type	School/Student Health Service
Lab Director	DR. ILENE TANNENBAUM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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