31D0711928 CLIA NUMBER - PRAHLAD M PATEL MD

Laboratory Demographics

  • CLIA Code: 31D0711928
  • Facility Name: PRAHLAD M PATEL MD
  • Facility Address: 600 BERLIN CROSSKEYS ROAD SUITE 102
    SICKLERVILLE, NJ
    ZIP 08081
  • Facility Phone: 609 875-5152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAHLAD M. PATEL
  • NPI Number: 1184705535
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0711928
LAB Type Physician Office
Facility Name PRAHLAD M PATEL MD
Street 600 BERLIN CROSSKEYS ROAD SUITE 102
City SICKLERVILLE
State NJ
ZIP 08081
Phone 609 875-5152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director PRAHLAD M. PATEL

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