33D2030897 CLIA NUMBER - DOCTOR'S MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2030897
  • Facility Name: DOCTOR'S MEDICAL PC
  • Facility Address: 2968 AVENUE X
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 769-4988
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MOUSTAFA O. ELSHESHTAWY
  • NPI Number: 1619362803
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2030897
LAB Type Community Clinic
Facility Name DOCTOR'S MEDICAL PC
Street 2968 AVENUE X
City BROOKLYN
State NY
ZIP 11235
Phone 718 769-4988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2011
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. MOUSTAFA O. ELSHESHTAWY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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