33D0939916 CLIA NUMBER - BEN Z JACOBS MD

Laboratory Demographics

  • CLIA Code: 33D0939916
  • Facility Name: BEN Z JACOBS MD
  • Facility Address: 1648 EAST 14TH ST SUITE #2
    BROOKLYN, NY
    ZIP 11229
  • Facility Phone: 718 336-6886
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEN Z. JACOBS
  • NPI Number: 1093740300
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0939916
LAB Type Physician Office
Facility Name BEN Z JACOBS MD
Street 1648 EAST 14TH ST SUITE #2
City BROOKLYN
State NY
ZIP 11229
Phone 718 336-6886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director BEN Z. JACOBS

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