33D2163722 CLIA NUMBER - ADVANCED PERIODONTAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 33D2163722
  • Facility Name: ADVANCED PERIODONTAL SERVICES PC
  • Facility Address: 3165 EMMONS AVENUE - STE C1
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 743-8279
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STUART L. SEGELNICK
  • NPI Number: 1346364296
  • Taxonomy: 1223P0300X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 33D2163722
LAB Type Physician Office
Facility Name ADVANCED PERIODONTAL SERVICES PC
Street 3165 EMMONS AVENUE - STE C1
City BROOKLYN
State NY
ZIP 11235
Phone 718 743-8279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director DR. STUART L. SEGELNICK

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