33D1019070 CLIA NUMBER - NEXT DOOR MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1019070
  • Facility Name: NEXT DOOR MEDICAL PC
  • Facility Address: 580 PENNSYLVANIA AVE
    BROOKLYN, NY
    ZIP 11207
  • Facility Phone: 718 498-4420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLEG LUSHPENKO DO
  • NPI Number: 1508903915
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1019070
LAB Type Physician Office
Facility Name NEXT DOOR MEDICAL PC
Street 580 PENNSYLVANIA AVE
City BROOKLYN
State NY
ZIP 11207
Phone 718 498-4420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director OLEG LUSHPENKO DO

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