33D2312179 CLIA NUMBER - ASOA LLC DBA PHULLON CARE PROVIDERS

Laboratory Demographics

  • CLIA Code: 33D2312179
  • Facility Name: ASOA LLC DBA PHULLON CARE PROVIDERS
  • Facility Address: 2182 PITKIN AVE, GROUND FL
    BROOKLYN, NY
    ZIP 11207
  • Facility Phone: 718 215-4011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELSIE ALVAREZ
  • NPI Number: 1609317460
  • Taxonomy: 246Z00000X - Specialist/Technologist, Other

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CLIA Record

Field Name Field Value
CLIA Number 33D2312179
LAB Type Physician Office
Facility Name ASOA LLC DBA PHULLON CARE PROVIDERS
Street 2182 PITKIN AVE, GROUND FL
City BROOKLYN
State NY
ZIP 11207
Phone 718 215-4011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director DR. ELSIE ALVAREZ

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