33D1003661 CLIA NUMBER - MIHAIL MEDVEDOVSKY PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D1003661
  • Facility Name: MIHAIL MEDVEDOVSKY PHYSICIAN PC
  • Facility Address: 3039 OCEAN PARKWAY
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 946-9070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MIHAIL MEDVEDOVSKY
  • NPI Number: 1962408880
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1003661
LAB Type Physician Office
Facility Name MIHAIL MEDVEDOVSKY PHYSICIAN PC
Street 3039 OCEAN PARKWAY
City BROOKLYN
State NY
ZIP 11235
Phone 718 946-9070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director DR. MIHAIL MEDVEDOVSKY

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