33D1044873 CLIA NUMBER - VANGUARD DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 33D1044873
  • Facility Name: VANGUARD DERMATOLOGY PC
  • Facility Address: 2148 OCEAN AVENUE, 5TH FLOOR SUITE 501
    BROOKLYN, NY
    ZIP 11229
  • Facility Phone: 212 398-1288
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL SHAPIRO
  • NPI Number: 1619179009
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D1044873
LAB Type Physician Office
Facility Name VANGUARD DERMATOLOGY PC
Street 2148 OCEAN AVENUE, 5TH FLOOR SUITE 501
City BROOKLYN
State NY
ZIP 11229
Phone 212 398-1288
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director DR. MICHAEL SHAPIRO

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