33D0931079 CLIA NUMBER - MAG MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D0931079
  • Facility Name: MAG MEDICAL PC
  • Facility Address: 2379 65TH STREET
    BROOKLYN, NY
    ZIP 11204
  • Facility Phone: 718 375-0392
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MERSON MD
  • NPI Number: 1215008040
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0931079
LAB Type Physician Office
Facility Name MAG MEDICAL PC
Street 2379 65TH STREET
City BROOKLYN
State NY
ZIP 11204
Phone 718 375-0392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director ALEXANDER MERSON MD

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