33D0979707 CLIA NUMBER - SOUTH BROOKLYN NEPHROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 33D0979707
  • Facility Name: SOUTH BROOKLYN NEPHROLOGY CENTER
  • Facility Address: 3915 AVENUE V - SUITE 104
    BROOKLYN, NY
    ZIP 11234
  • Facility Phone: 718 252-8440
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. HENRY LIPNER
  • NPI Number: 1578892261
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D0979707
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH BROOKLYN NEPHROLOGY CENTER
Street 3915 AVENUE V - SUITE 104
City BROOKLYN
State NY
ZIP 11234
Phone 718 252-8440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2000
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. HENRY LIPNER

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