33D2156240 CLIA NUMBER - KINGS PHYSICIAN SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D2156240
  • Facility Name: KINGS PHYSICIAN SERVICES PC
  • Facility Address: 263 7TH AVENUE, SUITE 5H
    BROOKLYN, NY
    ZIP 11215
  • Facility Phone: 718 246-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALBERT IZMAYLOV
  • NPI Number: 1083045090
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2156240
LAB Type Physician Office
Facility Name KINGS PHYSICIAN SERVICES PC
Street 263 7TH AVENUE, SUITE 5H
City BROOKLYN
State NY
ZIP 11215
Phone 718 246-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ALBERT IZMAYLOV

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