33D2254634 CLIA NUMBER - MG TESTING CENTER LLC

Laboratory Demographics

  • CLIA Code: 33D2254634
  • Facility Name: MG TESTING CENTER LLC
  • Facility Address: 2517 86TH STR
    BROOKLYN, NY
    ZIP 11214
  • Facility Phone: 718 749-9059
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. GORDON C. DAVIS
  • NPI Number: 1396493813
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 33D2254634
LAB Type Mobile Laboratory
Facility Name MG TESTING CENTER LLC
Street 2517 86TH STR
City BROOKLYN
State NY
ZIP 11214
Phone 718 749-9059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2022
Certificate Expiration Date 3/26/2027
Facility Type Mobile Laboratory
Lab Director DR. GORDON C. DAVIS

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