33D0937053 CLIA NUMBER - MORDECHAI BEITYAKOV MD

Laboratory Demographics

  • CLIA Code: 33D0937053
  • Facility Name: MORDECHAI BEITYAKOV MD
  • Facility Address: 1455 E 24TH STREET
    BROOKLYN, NY
    ZIP 11210
  • Facility Phone: 718 376-7894
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MORDECHAI BEITYAKOV
  • NPI Number: 1780679530
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0937053
LAB Type Physician Office
Facility Name MORDECHAI BEITYAKOV MD
Street 1455 E 24TH STREET
City BROOKLYN
State NY
ZIP 11210
Phone 718 376-7894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director DR. MORDECHAI BEITYAKOV

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This page was last updated on: 6/4/2025