33D2276047 CLIA NUMBER - GONCHAROV MEDICAL PC DBA PURE OBGYN

Laboratory Demographics

  • CLIA Code: 33D2276047
  • Facility Name: GONCHAROV MEDICAL PC DBA PURE OBGYN
  • Facility Address: 225 SAINT JOHNS PLACE
    BROOKLYN, NY
    ZIP 11217
  • Facility Phone: 718 517-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DIMITRY GONCHAROV
  • NPI Number: 1831580091
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2276047
LAB Type Physician Office
Facility Name GONCHAROV MEDICAL PC DBA PURE OBGYN
Street 225 SAINT JOHNS PLACE
City BROOKLYN
State NY
ZIP 11217
Phone 718 517-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director DR. DIMITRY GONCHAROV

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