33D1093658 CLIA NUMBER - MICHAEL HANAN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1093658
  • Facility Name: MICHAEL HANAN MEDICAL PC
  • Facility Address: 24-01 AVENUE X - 1ST FLOOR
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 975-0701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL HANAN
  • NPI Number: 1780648071
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1093658
LAB Type Physician Office
Facility Name MICHAEL HANAN MEDICAL PC
Street 24-01 AVENUE X - 1ST FLOOR
City BROOKLYN
State NY
ZIP 11235
Phone 718 975-0701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Physician Office
Lab Director DR. MICHAEL HANAN

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This page was last updated on: 3/20/2025