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33D2176115 CLIA NUMBER - PROSPECT HEIGHTS CARDIOLOGY PLLC

Laboratory Demographics

CLIA Number: 33D2176115

Facility Name: PROSPECT HEIGHTS CARDIOLOGY PLLC

Facility Address:
47 PLAZA ST W STE 1B
BROOKLYN, NY
ZIP 11217
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Facility Phone Number: 718 789-4332

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1013927474

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 33D2176115
LAB Type Physician Office
Facility Name PROSPECT HEIGHTS CARDIOLOGY PLLC
Street 47 PLAZA ST W STE 1B
City BROOKLYN
State NY
ZIP 11217
Phone 718 789-4332
CertificateType 4
CertificateEffectiveDate 3/13/2023
CertificateExpirationDate 3/12/2025
FacilityType Waiver

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