33D0141566 CLIA NUMBER - MIDDLETOWN MEDICAL P C LABORATORY

Laboratory Demographics

  • CLIA Code: 33D0141566
  • Facility Name: MIDDLETOWN MEDICAL P C LABORATORY
  • Facility Address: 95 MALTESE DR
    MIDDLETOWN, NY
    ZIP 10940
  • Facility Phone: 845 421-6321
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JAGRUTI GOHEL
  • NPI Number: 1598162067
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0141566
LAB Type Physician Office
Facility Name MIDDLETOWN MEDICAL P C LABORATORY
Street 95 MALTESE DR
City MIDDLETOWN
State NY
ZIP 10940
Phone 845 421-6321
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. JAGRUTI GOHEL

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This page was last updated on: 3/20/2025