33D1068938 CLIA NUMBER - ADVANTAGECARE PHYSICIANS PC - BROOKLYN HEIGHTS

Laboratory Demographics

  • CLIA Code: 33D1068938
  • Facility Name: ADVANTAGECARE PHYSICIANS PC - BROOKLYN HEIGHTS
  • Facility Address: 55 WATER STREET - 2ND FLOOR
    NEW YORK, NY
    ZIP 10041
  • Facility Phone: 646 680-1870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROGER A. WOODEN
  • NPI Number: 1336578772
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D1068938
LAB Type Physician Office
Facility Name ADVANTAGECARE PHYSICIANS PC - BROOKLYN HEIGHTS
Street 55 WATER STREET - 2ND FLOOR
City NEW YORK
State NY
ZIP 10041
Phone 646 680-1870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ROGER A. WOODEN

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