33D2211211 CLIA NUMBER - HEALTH SHARED PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 33D2211211
  • Facility Name: HEALTH SHARED PHYSICIANS PLLC
  • Facility Address: 979 FULTON STREET
    BROOKLYN, NY
    ZIP 11238
  • Facility Phone: 718 857-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHITRA GOPALASWAMY
  • NPI Number: 1013576552
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2211211
LAB Type Physician Office
Facility Name HEALTH SHARED PHYSICIANS PLLC
Street 979 FULTON STREET
City BROOKLYN
State NY
ZIP 11238
Phone 718 857-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DR. CHITRA GOPALASWAMY

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This page was last updated on: 6/4/2025