33D2160005 CLIA NUMBER - NISSIM BASSOUL

Laboratory Demographics

  • CLIA Code: 33D2160005
  • Facility Name: NISSIM BASSOUL
  • Facility Address: 2490 OCEAN PARKWAY
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 382-1920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NISSIM BASSOUL
  • NPI Number: 1023071701
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2160005
LAB Type Physician Office
Facility Name NISSIM BASSOUL
Street 2490 OCEAN PARKWAY
City BROOKLYN
State NY
ZIP 11235
Phone 718 382-1920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director DR. NISSIM BASSOUL

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