33D1039599 CLIA NUMBER - DOVE PEDIATRIC SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D1039599
  • Facility Name: DOVE PEDIATRIC SERVICES PC
  • Facility Address: 900 LENOX ROAD
    BROOKLYN, NY
    ZIP 11203
  • Facility Phone: 718 363-6646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROSEMARY M. JACKSON
  • NPI Number: 1336116722
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1039599
LAB Type Physician Office
Facility Name DOVE PEDIATRIC SERVICES PC
Street 900 LENOX ROAD
City BROOKLYN
State NY
ZIP 11203
Phone 718 363-6646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DR. ROSEMARY M. JACKSON

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