33D2034258 CLIA NUMBER - HP MEDICAL PC

Laboratory Demographics

CLIA Number: 33D2034258

Facility Name: HP MEDICAL PC

Facility Address:
774 BROADWAY SUITE 2B
BROOKLYN, NY
ZIP 11206
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Facility Phone Number: 347 335-0305

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497161855

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 33D2034258
LAB Type Physician Office
Facility Name HP MEDICAL PC
Street 774 BROADWAY SUITE 2B
City BROOKLYN
State NY
ZIP 11206
Phone 347 335-0305
CertificateType 4
CertificateEffectiveDate 12/20/2023
CertificateExpirationDate 12/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024