33D1036708 CLIA NUMBER - VOORHIES NEPHROLOGY MEDICAL PC

Laboratory Demographics

CLIA Number: 33D1036708

Facility Name: VOORHIES NEPHROLOGY MEDICAL PC

Facility Address:
1309 AVENUE P
BROOKLYN, NY
ZIP 11229
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Facility Phone Number: 718 648-2162

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295772424

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D1036708
LAB Type	Physician Office
Facility Name	VOORHIES NEPHROLOGY MEDICAL PC
Street	1309 AVENUE P
City	BROOKLYN
State	NY
ZIP	11229
Phone	718 648-2162
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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