33D2227374 CLIA NUMBER - SHINING STAR HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 33D2227374
  • Facility Name: SHINING STAR HOME CARE LLC
  • Facility Address: 6024 14TH AVENUE, 2ND FLOOR
    BROOKLYN, NY
    ZIP 11219
  • Facility Phone: 718 434-4700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT L. GOODMAN
  • NPI Number: 1487352373
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 33D2227374
LAB Type Home Health Agency
Facility Name SHINING STAR HOME CARE LLC
Street 6024 14TH AVENUE, 2ND FLOOR
City BROOKLYN
State NY
ZIP 11219
Phone 718 434-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2021
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. ROBERT L. GOODMAN

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