33D2248446 CLIA NUMBER - ANNA SUPONYA MDPC

Laboratory Demographics

  • CLIA Code: 33D2248446
  • Facility Name: ANNA SUPONYA MDPC
  • Facility Address: 9920 4TH AVE, SUITE 206
    BROOKLYN, NY
    ZIP 11209
  • Facility Phone: 718 238-8373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANNA SUPONY
  • NPI Number: 1043210669
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2248446
LAB Type Physician Office
Facility Name ANNA SUPONYA MDPC
Street 9920 4TH AVE, SUITE 206
City BROOKLYN
State NY
ZIP 11209
Phone 718 238-8373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director DR. ANNA SUPONY

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