33D2074557 CLIA NUMBER - BROOKLYN JOB CORPS

Laboratory Demographics

CLIA Code: 33D2074557
Facility Name: BROOKLYN JOB CORPS
Facility Address: 585 DEKALB AVENUE WELLNESS DEPARTMENT
BROOKLYN, NY
ZIP 11205
Facility Phone: 718 623-4057
Facility Type: School/Student Health Service
Facility Type: Waiver
Lab Director: DR. TANYA ZANGAGLIA
NPI Number: 1518091271
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	33D2074557
LAB Type	School/Student Health Service
Facility Name	BROOKLYN JOB CORPS
Street	585 DEKALB AVENUE WELLNESS DEPARTMENT
City	BROOKLYN
State	NY
ZIP	11205
Phone	718 623-4057
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/12/2024
Certificate Expiration Date	3/11/2026
Facility Type	School/Student Health Service
Lab Director	DR. TANYA ZANGAGLIA

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