33D0958873 CLIA NUMBER - MONOGRAM MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D0958873
  • Facility Name: MONOGRAM MEDICAL PC
  • Facility Address: 1913 AVENUE Z
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 934-6661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANCE I. AUSTEIN
  • NPI Number: 1619206364
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0958873
LAB Type Physician Office
Facility Name MONOGRAM MEDICAL PC
Street 1913 AVENUE Z
City BROOKLYN
State NY
ZIP 11235
Phone 718 934-6661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director LANCE I. AUSTEIN

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