33D2192421 CLIA NUMBER - GRIFFIN MYERS MEDICAL PC DBA OAK STREET HEALTH

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Laboratory Demographics

CLIA Number: 33D2192421

Facility Name: GRIFFIN MYERS MEDICAL PC DBA OAK STREET HEALTH

Facility Address:
455 SUTTER AVE
BROOKLYN, NY
ZIP 11212
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Facility Phone Number: 718 765-6550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780209445

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2192421
LAB Type	Physician Office
Facility Name	GRIFFIN MYERS MEDICAL PC DBA OAK STREET HEALTH
Street	455 SUTTER AVE
City	BROOKLYN
State	NY
ZIP	11212
Phone	718 765-6550
CertificateType	4
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	Waiver

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