33D0156795 CLIA NUMBER - RAJESH MARIWALLA PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D0156795
  • Facility Name: RAJESH MARIWALLA PHYSICIAN PC
  • Facility Address: 1175 MONTAUK HWY SUITE #4
    WEST ISLIP, NY
    ZIP 11795
  • Facility Phone: 631 422-9600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RAJESH MARIWALLA
  • NPI Number: 1740378629
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0156795
LAB Type Physician Office
Facility Name RAJESH MARIWALLA PHYSICIAN PC
Street 1175 MONTAUK HWY SUITE #4
City WEST ISLIP
State NY
ZIP 11795
Phone 631 422-9600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director DR. RAJESH MARIWALLA

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