33D2100025 CLIA NUMBER - WOMEN'S MEDICAL SERVICES OF NEW YORK

Laboratory Demographics

  • CLIA Code: 33D2100025
  • Facility Name: WOMEN'S MEDICAL SERVICES OF NEW YORK
  • Facility Address: 9413 FLATLANDS AVENUE, SUITE 206-E
    BROOKLYN, NY
    ZIP 11236
  • Facility Phone: 718 485-2420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUAN S. SANDOVAL
  • NPI Number: 1629058763
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2100025
LAB Type Physician Office
Facility Name WOMEN'S MEDICAL SERVICES OF NEW YORK
Street 9413 FLATLANDS AVENUE, SUITE 206-E
City BROOKLYN
State NY
ZIP 11236
Phone 718 485-2420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director DR. JUAN S. SANDOVAL

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This page was last updated on: 3/20/2025