33D1098085 CLIA NUMBER - JSJ MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 33D1098085
  • Facility Name: JSJ MEDICAL GROUP
  • Facility Address: 1509 ROCKWAY
    BROOKLYN, NY
    ZIP 11236
  • Facility Phone: 718 927-0027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK C. JOSEPH
  • NPI Number: 1578881579
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1098085
LAB Type Physician Office
Facility Name JSJ MEDICAL GROUP
Street 1509 ROCKWAY
City BROOKLYN
State NY
ZIP 11236
Phone 718 927-0027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director MARK C. JOSEPH

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