33D2151504 CLIA NUMBER - SIMON LI MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2151504
  • Facility Name: SIMON LI MEDICAL PLLC
  • Facility Address: 8510 19TH AVENUE
    BROOKLYN, NY
    ZIP 11214
  • Facility Phone: 347 562-3285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LI SIMON
  • NPI Number: 1265751002
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2151504
LAB Type Physician Office
Facility Name SIMON LI MEDICAL PLLC
Street 8510 19TH AVENUE
City BROOKLYN
State NY
ZIP 11214
Phone 347 562-3285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DR. LI SIMON

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