33D2264282 CLIA NUMBER - PARK CHEMISTS 4 AV LLC

Laboratory Demographics

  • CLIA Code: 33D2264282
  • Facility Name: PARK CHEMISTS 4 AV LLC
  • Facility Address: 500 4TH AVE
    BROOKLYN, NY
    ZIP 11215
  • Facility Phone: (718) 567-5444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. GARY VALEVICH
  • NPI Number: 1043076359
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2264282
LAB Type Pharmacy
Facility Name PARK CHEMISTS 4 AV LLC
Street 500 4TH AVE
City BROOKLYN
State NY
ZIP 11215
Phone 7185675444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2022
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. GARY VALEVICH

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This page was last updated on: 5/15/2026