33D2171656 CLIA NUMBER - CONCEPCION V TAN MD

Laboratory Demographics

  • CLIA Code: 33D2171656
  • Facility Name: CONCEPCION V TAN MD
  • Facility Address: 2746 OCEAN AVENUE
    BROOKLYN, NY
    ZIP 11229
  • Facility Phone: 718 769-8305
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CONCEPCION V. TAN
  • NPI Number: 1962403097
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2171656
LAB Type Physician Office
Facility Name CONCEPCION V TAN MD
Street 2746 OCEAN AVENUE
City BROOKLYN
State NY
ZIP 11229
Phone 718 769-8305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director DR. CONCEPCION V. TAN

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