33D2136077 CLIA NUMBER - AG URGENT CARE PC

Laboratory Demographics

  • CLIA Code: 33D2136077
  • Facility Name: AG URGENT CARE PC
  • Facility Address: 9525 CHURCH AVENUE
    BROOKLYN, NY
    ZIP 11212
  • Facility Phone: 718 975-2270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THEOPHINE ABAKPORO
  • NPI Number: 1992116701
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2136077
LAB Type Physician Office
Facility Name AG URGENT CARE PC
Street 9525 CHURCH AVENUE
City BROOKLYN
State NY
ZIP 11212
Phone 718 975-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2017
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. THEOPHINE ABAKPORO

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