33D2034474 CLIA NUMBER - MAIMONIDES FACULTY PRACTICE PLAN

Laboratory Demographics

  • CLIA Code: 33D2034474
  • Facility Name: MAIMONIDES FACULTY PRACTICE PLAN
  • Facility Address: 902 QUENTIN ROAD
    BROOKLYN, NY
    ZIP 11223
  • Facility Phone: 718 645-1199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHAIM GITELIS
  • NPI Number: 1467639922
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D2034474
LAB Type Physician Office
Facility Name MAIMONIDES FACULTY PRACTICE PLAN
Street 902 QUENTIN ROAD
City BROOKLYN
State NY
ZIP 11223
Phone 718 645-1199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2011
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. CHAIM GITELIS

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