33D0941353 CLIA NUMBER - SEA BREEZE MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D0941353
  • Facility Name: SEA BREEZE MEDICAL PC
  • Facility Address: 135 SEA BREEZE AVENUE SUITE 101
    BROOKLYN, NY
    ZIP 11224
  • Facility Phone: 718 338-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VLADIMIR K. SMIRNOV
  • NPI Number: 1275781403
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0941353
LAB Type Physician Office
Facility Name SEA BREEZE MEDICAL PC
Street 135 SEA BREEZE AVENUE SUITE 101
City BROOKLYN
State NY
ZIP 11224
Phone 718 338-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director VLADIMIR K. SMIRNOV

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