33D2024930 CLIA NUMBER - JERRY UDUEVBO MD PC D.B.A. NEW YORK MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 33D2024930
  • Facility Name: JERRY UDUEVBO MD PC D.B.A. NEW YORK MEDICAL CLINIC
  • Facility Address: 2503 CHURCH AVE
    BROOKLYN, NY
    ZIP 11226
  • Facility Phone: 718 928-7575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERRY UDUEVBO
  • NPI Number: 1740448208
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2024930
LAB Type Physician Office
Facility Name JERRY UDUEVBO MD PC D.B.A. NEW YORK MEDICAL CLINIC
Street 2503 CHURCH AVE
City BROOKLYN
State NY
ZIP 11226
Phone 718 928-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director DR. JERRY UDUEVBO

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