33D2278146 CLIA NUMBER - OLUWATOYIN AJAYI MEDICAL PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 33D2278146
  • Facility Name: OLUWATOYIN AJAYI MEDICAL PRACTICE, PC
  • Facility Address: 1259 BEDFORD AVENUE
    BROOKLYN, NY
    ZIP 11216
  • Facility Phone: 646 680-3249
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARIA DUDA
  • NPI Number: 1417452152
  • Taxonomy: 164W00000X - Licensed Practical Nurse

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CLIA Record

Field Name Field Value
CLIA Number 33D2278146
LAB Type Physician Office
Facility Name OLUWATOYIN AJAYI MEDICAL PRACTICE, PC
Street 1259 BEDFORD AVENUE
City BROOKLYN
State NY
ZIP 11216
Phone 646 680-3249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. MARIA DUDA

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