33D0970376 CLIA NUMBER - ALINE S BENJAMIN MD

Laboratory Demographics

  • CLIA Code: 33D0970376
  • Facility Name: ALINE S BENJAMIN MD
  • Facility Address: 624 KINGS HIGHWAY
    BROOKLYN, NY
    ZIP 11223
  • Facility Phone: 718 336-5025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALINE S. BENJAMIN
  • NPI Number: 1457328775
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0970376
LAB Type Physician Office
Facility Name ALINE S BENJAMIN MD
Street 624 KINGS HIGHWAY
City BROOKLYN
State NY
ZIP 11223
Phone 718 336-5025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director ALINE S. BENJAMIN

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