33D2046617 CLIA NUMBER - IDAN SHARON, MD

Laboratory Demographics

  • CLIA Code: 33D2046617
  • Facility Name: IDAN SHARON, MD
  • Facility Address: 6917 SHORE ROAD
    BROOKLYN, NY
    ZIP 11209
  • Facility Phone: 718 680-8105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IDAN SHARON
  • NPI Number: 1205852845
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2046617
LAB Type Physician Office
Facility Name IDAN SHARON, MD
Street 6917 SHORE ROAD
City BROOKLYN
State NY
ZIP 11209
Phone 718 680-8105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director DR. IDAN SHARON

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