33D2249195 CLIA NUMBER - DITMAS PARK MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 33D2249195
  • Facility Name: DITMAS PARK MEDICAL CARE
  • Facility Address: 2020 CORTELYOU ROAD
    BROOKLYN, NY
    ZIP 11226
  • Facility Phone: 718 689-7379
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NASIMULLAH KHAN
  • NPI Number: 1326140591
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2249195
LAB Type Physician Office
Facility Name DITMAS PARK MEDICAL CARE
Street 2020 CORTELYOU ROAD
City BROOKLYN
State NY
ZIP 11226
Phone 718 689-7379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director DR. NASIMULLAH KHAN

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