33D1067558 CLIA NUMBER - FIRST CARE MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 33D1067558
  • Facility Name: FIRST CARE MEDICAL GROUP PC
  • Facility Address: 863 50TH STREET SUITE M5
    BROOKLYN, NY
    ZIP 11220
  • Facility Phone: 718 686-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGNES SO
  • NPI Number: 1114080330
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1067558
LAB Type Physician Office
Facility Name FIRST CARE MEDICAL GROUP PC
Street 863 50TH STREET SUITE M5
City BROOKLYN
State NY
ZIP 11220
Phone 718 686-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director AGNES SO

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