33D2206837 CLIA NUMBER - MODERN MEDICAL CARE PC

Laboratory Demographics

CLIA Code: 33D2206837
Facility Name: MODERN MEDICAL CARE PC
Facility Address: 2829 OCEAN PARKWAY 2ND FLOOR
BROOKLYN, NY
ZIP 11235
Facility Phone: 718 616-0500
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: DR. ALEKSANDR ORLOVSKIY
NPI Number: 1639600604
Taxonomy: 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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CLIA Record

Field Name	Field Value
CLIA Number	33D2206837
LAB Type	Physician Office
Facility Name	MODERN MEDICAL CARE PC
Street	2829 OCEAN PARKWAY 2ND FLOOR
City	BROOKLYN
State	NY
ZIP	11235
Phone	718 616-0500
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/22/2024
Certificate Expiration Date	12/21/2026
Facility Type	Physician Office
Lab Director	DR. ALEKSANDR ORLOVSKIY

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