33D1094666 CLIA NUMBER - MODERN MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D1094666
  • Facility Name: MODERN MEDICAL PLLC
  • Facility Address: 1821 AVENUE P 1ST FLOOR A6
    BROOKLYN, NY
    ZIP 11229
  • Facility Phone: 718 998-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MURRAY J. WERZBERGER
  • NPI Number: 1811940851
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1094666
LAB Type Physician Office
Facility Name MODERN MEDICAL PLLC
Street 1821 AVENUE P 1ST FLOOR A6
City BROOKLYN
State NY
ZIP 11229
Phone 718 998-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director DR. MURRAY J. WERZBERGER

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