31D2179761 CLIA NUMBER - SURESH I PATEL, MD PA

Laboratory Demographics

  • CLIA Code: 31D2179761
  • Facility Name: SURESH I PATEL, MD PA
  • Facility Address: 34-36 PROGRESS ST A -1
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 908 561-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURESH I. PATEL
  • NPI Number: 1275583130
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2179761
LAB Type Physician Office
Facility Name SURESH I PATEL, MD PA
Street 34-36 PROGRESS ST A -1
City EDISON
State NJ
ZIP 08820
Phone 908 561-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director SURESH I. PATEL

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