33D1103615 CLIA NUMBER - ATLANTIC MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1103615
  • Facility Name: ATLANTIC MEDICAL PC
  • Facility Address: 745 OCEAN PKWY
    BROOKLYN, NY
    ZIP 11230
  • Facility Phone: 718 677-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MIRON FAYNGERSH
  • NPI Number: 1942421979
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1103615
LAB Type Physician Office
Facility Name ATLANTIC MEDICAL PC
Street 745 OCEAN PKWY
City BROOKLYN
State NY
ZIP 11230
Phone 718 677-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director DR. MIRON FAYNGERSH

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