33D1100992 CLIA NUMBER - MEDICAL OFFICE PC

Laboratory Demographics

  • CLIA Code: 33D1100992
  • Facility Name: MEDICAL OFFICE PC
  • Facility Address: 527 CONEY ISLAND AVENUE LOWER LEVEL 1
    BROOKLYN, NY
    ZIP 11218
  • Facility Phone: 718 306-5025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IMADUDDIN S. HASHMI
  • NPI Number: 1013198886
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1100992
LAB Type Physician Office
Facility Name MEDICAL OFFICE PC
Street 527 CONEY ISLAND AVENUE LOWER LEVEL 1
City BROOKLYN
State NY
ZIP 11218
Phone 718 306-5025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director DR. IMADUDDIN S. HASHMI

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