33D2157739 CLIA NUMBER - STARRETT CITY MEDICAL OF NEW YORK LLC

Laboratory Demographics

CLIA Number: 33D2157739

Facility Name: STARRETT CITY MEDICAL OF NEW YORK LLC

Facility Address:
924 FLATBUSH AVENUE
BROOKLYN, NY
ZIP 11226
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Facility Phone Number: 718 709-5327

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043752785

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	33D2157739
LAB Type	Physician Office
Facility Name	STARRETT CITY MEDICAL OF NEW YORK LLC
Street	924 FLATBUSH AVENUE
City	BROOKLYN
State	NY
ZIP	11226
Phone	718 709-5327
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024