33D1025250 CLIA NUMBER - OCEAN RENAL CARE, PC

Laboratory Demographics

  • CLIA Code: 33D1025250
  • Facility Name: OCEAN RENAL CARE, PC
  • Facility Address: 40 WEST BRIGHTON AVENUE SUITE 103
    BROOKLYN, NY
    ZIP 11224
  • Facility Phone: 718 996-2260
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARIE A. BENTSIANOV
  • NPI Number: 1265570402
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1025250
LAB Type Physician Office
Facility Name OCEAN RENAL CARE, PC
Street 40 WEST BRIGHTON AVENUE SUITE 103
City BROOKLYN
State NY
ZIP 11224
Phone 718 996-2260
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director DR. MARIE A. BENTSIANOV

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