33D0951191 CLIA NUMBER - SWAMINATHAN GIRIDHARAN

Laboratory Demographics

CLIA Number: 33D0951191

Facility Name: SWAMINATHAN GIRIDHARAN

Facility Address:
90 OCEAN COURT
BROOKLYN, NY
ZIP 11235
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Facility Phone Number: 718 332-7398

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578530770

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D0951191
LAB Type	Physician Office
Facility Name	SWAMINATHAN GIRIDHARAN
Street	90 OCEAN COURT
City	BROOKLYN
State	NY
ZIP	11235
Phone	718 332-7398
CertificateType	4
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024