33D2178905 CLIA NUMBER - DORAL MEDICAL AND MULTISPECIALTY FACILITY LLC

Laboratory Demographics

CLIA Number: 33D2178905

Facility Name: DORAL MEDICAL AND MULTISPECIALTY FACILITY LLC

Facility Address:
1797 PITKIN AVE
BROOKLYN, NY
ZIP 11212
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Facility Phone Number: 718 971-1944

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1144693607

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2178905
LAB Type	Community Clinic
Facility Name	DORAL MEDICAL AND MULTISPECIALTY FACILITY LLC
Street	1797 PITKIN AVE
City	BROOKLYN
State	NY
ZIP	11212
Phone	718 971-1944
CertificateType	2
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	3/26/2027
FacilityType	Compliance

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