33D0135069 CLIA NUMBER - USHA THOMAS MD

Laboratory Demographics

  • CLIA Code: 33D0135069
  • Facility Name: USHA THOMAS MD
  • Facility Address: 175 GUYON AVE
    STATEN ISLAND, NY
    ZIP 10306
  • Facility Phone: 718 987-4303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: USHA THOMAS MD
  • NPI Number: 1972699171
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0135069
LAB Type Physician Office
Facility Name USHA THOMAS MD
Street 175 GUYON AVE
City STATEN ISLAND
State NY
ZIP 10306
Phone 718 987-4303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director USHA THOMAS MD

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