33D2078627 CLIA NUMBER - PBGS LLC

Laboratory Demographics

  • CLIA Code: 33D2078627
  • Facility Name: PBGS LLC
  • Facility Address: 14 DEKALB AVE - 4TH FLOOR
    BROOKLYN, NY
    ZIP 11201
  • Facility Phone: 718 408-4999
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DMITRIY BRONFMAN
  • NPI Number: 1164848453
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2078627
LAB Type Ambulatory Surgery Center
Facility Name PBGS LLC
Street 14 DEKALB AVE - 4TH FLOOR
City BROOKLYN
State NY
ZIP 11201
Phone 718 408-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2014
Certificate Expiration Date 3/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. DMITRIY BRONFMAN

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