33D2309459 CLIA NUMBER - VANGUARD DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2309459
  • Facility Name: VANGUARD DERMATOLOGY PC
  • Facility Address: 2727 OCEAN PARKWAY UNIT L1
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 212 398-1288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL SHAPIRO
  • NPI Number: 1013345297
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 33D2309459
LAB Type Physician Office
Facility Name VANGUARD DERMATOLOGY PC
Street 2727 OCEAN PARKWAY UNIT L1
City BROOKLYN
State NY
ZIP 11235
Phone 212 398-1288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director DR. MICHAEL SHAPIRO

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