33D1021605 CLIA NUMBER - BE WELL PRIMARY HEALTH CARE CENTER LLC

Laboratory Demographics

CLIA Number: 33D1021605

Facility Name: BE WELL PRIMARY HEALTH CARE CENTER LLC

Facility Address:
3007 FARRAGUT ROAD
BROOKLYN, NY
ZIP 11210
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Facility Phone Number: 718 253-9355

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1083623409

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1021605
LAB Type	Community Clinic
Facility Name	BE WELL PRIMARY HEALTH CARE CENTER LLC
Street	3007 FARRAGUT ROAD
City	BROOKLYN
State	NY
ZIP	11210
Phone	718 253-9355
CertificateType	2
CertificateEffectiveDate	8/17/2021
CertificateExpirationDate	3/26/2027
FacilityType	Compliance

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This page was last updated on: 4/23/2024