33D2326817 CLIA NUMBER - WELLMED NY LLC DBA WELLMED

Laboratory Demographics

  • CLIA Code: 33D2326817
  • Facility Name: WELLMED NY LLC DBA WELLMED
  • Facility Address: 2860 W 5TH ST
    BROOKLYN, NY
    ZIP 11224
  • Facility Phone: 855 505-2992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAVEL GOZENPUT
  • NPI Number: 1639042526
  • Taxonomy: 202D00000X - Integrative Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2326817
LAB Type Physician Office
Facility Name WELLMED NY LLC DBA WELLMED
Street 2860 W 5TH ST
City BROOKLYN
State NY
ZIP 11224
Phone 855 505-2992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. PAVEL GOZENPUT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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