33D2034660 CLIA NUMBER - PROMINIS MEDICAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D2034660
  • Facility Name: PROMINIS MEDICAL SERVICES PC
  • Facility Address: 332 DEKALB AVENUE
    BROOKLYN, NY
    ZIP 11205
  • Facility Phone: 718 852-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANAHID J. NISANIAN
  • NPI Number: 1841323771
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2034660
LAB Type Physician Office
Facility Name PROMINIS MEDICAL SERVICES PC
Street 332 DEKALB AVENUE
City BROOKLYN
State NY
ZIP 11205
Phone 718 852-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director DR. ANAHID J. NISANIAN

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