33D2119784 CLIA NUMBER - TOBECHI L EBEDE MD PLLC DBA PLAZA PARK DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D2119784
  • Facility Name: TOBECHI L EBEDE MD PLLC DBA PLAZA PARK DERMATOLOGY
  • Facility Address: 26 COURT STREET, SUITE 1005
    BROOKLYN, NY
    ZIP 11242
  • Facility Phone: 718 522-6647
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TOBECHI L. EBEDE
  • NPI Number: 1992963946
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2119784
LAB Type Physician Office
Facility Name TOBECHI L EBEDE MD PLLC DBA PLAZA PARK DERMATOLOGY
Street 26 COURT STREET, SUITE 1005
City BROOKLYN
State NY
ZIP 11242
Phone 718 522-6647
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director DR. TOBECHI L. EBEDE

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