33D2147026 CLIA NUMBER - FEDIR ILNITSKYY MD PC

Laboratory Demographics

  • CLIA Code: 33D2147026
  • Facility Name: FEDIR ILNITSKYY MD PC
  • Facility Address: 421 OCEAN PKWY - STE 2A
    BROOKLYN, NY
    ZIP 11218
  • Facility Phone: 718 438-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FEDIR ILNITSKYY
  • NPI Number: 1225334519
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2147026
LAB Type Physician Office
Facility Name FEDIR ILNITSKYY MD PC
Street 421 OCEAN PKWY - STE 2A
City BROOKLYN
State NY
ZIP 11218
Phone 718 438-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director DR. FEDIR ILNITSKYY

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