33D1025942 CLIA NUMBER - BROOKLYN MEDICAL CARE PRACTICE PC

Laboratory Demographics

  • CLIA Code: 33D1025942
  • Facility Name: BROOKLYN MEDICAL CARE PRACTICE PC
  • Facility Address: 763-765 NOSTRAND AVENUE
    BROOKLYN, NY
    ZIP 11216
  • Facility Phone: 718 398-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BERTHOLET DESIR
  • NPI Number: 1790144574
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 33D1025942
LAB Type Physician Office
Facility Name BROOKLYN MEDICAL CARE PRACTICE PC
Street 763-765 NOSTRAND AVENUE
City BROOKLYN
State NY
ZIP 11216
Phone 718 398-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director DR. BERTHOLET DESIR

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