33D2004315 CLIA NUMBER - REFUA SHLEMA MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2004315
  • Facility Name: REFUA SHLEMA MEDICAL PC
  • Facility Address: 499 CROWN STREET
    BROOKLYN, NY
    ZIP 11213
  • Facility Phone: 347 614-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAFAEL ILYAYEV
  • NPI Number: 1003093519
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2004315
LAB Type Physician Office
Facility Name REFUA SHLEMA MEDICAL PC
Street 499 CROWN STREET
City BROOKLYN
State NY
ZIP 11213
Phone 347 614-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director DR. RAFAEL ILYAYEV

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