33D0912256 CLIA NUMBER - ITCHIE STATFELD MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0912256
  • Facility Name: ITCHIE STATFELD MD PLLC
  • Facility Address: 531 BEDFORD AVENUE
    BROOKLYN, NY
    ZIP 11211
  • Facility Phone: 718 782-5053
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ITCHIE STATFELD
  • NPI Number: 1053345108
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0912256
LAB Type Physician Office
Facility Name ITCHIE STATFELD MD PLLC
Street 531 BEDFORD AVENUE
City BROOKLYN
State NY
ZIP 11211
Phone 718 782-5053
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 1/10/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. ITCHIE STATFELD

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