33D0940978 CLIA NUMBER - BORIS ITSKOVICH MD PC

Laboratory Demographics

  • CLIA Code: 33D0940978
  • Facility Name: BORIS ITSKOVICH MD PC
  • Facility Address: 2993 OCEAN PARKWAY
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 373-0777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BORIS ITSKOVICH
  • NPI Number: 1235197252
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0940978
LAB Type Physician Office
Facility Name BORIS ITSKOVICH MD PC
Street 2993 OCEAN PARKWAY
City BROOKLYN
State NY
ZIP 11235
Phone 718 373-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director DR. BORIS ITSKOVICH

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This page was last updated on: 3/20/2025