33D0174025 CLIA NUMBER - RAJAN GULATI MD

Laboratory Demographics

  • CLIA Code: 33D0174025
  • Facility Name: RAJAN GULATI MD
  • Facility Address: 45 W MAIN ST
    CUBA, NY
    ZIP 14727
  • Facility Phone: 716 968-1628
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJAN GULATI
  • NPI Number: 1487735155
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0174025
LAB Type Physician Office
Facility Name RAJAN GULATI MD
Street 45 W MAIN ST
City CUBA
State NY
ZIP 14727
Phone 716 968-1628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director RAJAN GULATI

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