33D2291772 CLIA NUMBER - FORT GREEN VISION INC

Laboratory Demographics

  • CLIA Code: 33D2291772
  • Facility Name: FORT GREEN VISION INC
  • Facility Address: 446 MYRTLE AVE
    BROOKLYN, NY
    ZIP 11205
  • Facility Phone: 718 246-2020
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN GIVNER
  • NPI Number: 1912320052
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 33D2291772
LAB Type Practitioner Other
Facility Name FORT GREEN VISION INC
Street 446 MYRTLE AVE
City BROOKLYN
State NY
ZIP 11205
Phone 718 246-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 3/26/2027
Facility Type Practitioner Other
Lab Director DR. STEVEN GIVNER

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