33D2118450 CLIA NUMBER - MODERNMD URGENT CARE

Laboratory Demographics

  • CLIA Code: 33D2118450
  • Facility Name: MODERNMD URGENT CARE
  • Facility Address: 366 KNICKERBOCKER AVE
    BROOKLYN, NY
    ZIP 11237
  • Facility Phone: 646 604-8160
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH A. PASSANANTE
  • NPI Number: 1932590601
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2118450
LAB Type Community Clinic
Facility Name MODERNMD URGENT CARE
Street 366 KNICKERBOCKER AVE
City BROOKLYN
State NY
ZIP 11237
Phone 646 604-8160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2016
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. JOSEPH A. PASSANANTE

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