33D1090431 CLIA NUMBER - PENG'S MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1090431
  • Facility Name: PENG'S MEDICAL PC
  • Facility Address: 863 5OTH STREET, M6
    BROOKLYN, NY
    ZIP 11220
  • Facility Phone: 347 240-8482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JINPENG PENG
  • NPI Number: 1124279013
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1090431
LAB Type Physician Office
Facility Name PENG'S MEDICAL PC
Street 863 5OTH STREET, M6
City BROOKLYN
State NY
ZIP 11220
Phone 347 240-8482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DR. JINPENG PENG

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