33D2072335 CLIA NUMBER - NEW YORK INTERVENTIONAL SPINE AND PAIN MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D2072335
  • Facility Name: NEW YORK INTERVENTIONAL SPINE AND PAIN MEDICINE PC
  • Facility Address: 405 5TH AVENUE
    BROOKLYN, NY
    ZIP 11215
  • Facility Phone: 718 768-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ABDULQUADER KHAN
  • NPI Number: 1033547625
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 33D2072335
LAB Type Physician Office
Facility Name NEW YORK INTERVENTIONAL SPINE AND PAIN MEDICINE PC
Street 405 5TH AVENUE
City BROOKLYN
State NY
ZIP 11215
Phone 718 768-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director DR. ABDULQUADER KHAN

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