33D0669428 CLIA NUMBER - VIJAY B GOPAL PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D0669428
  • Facility Name: VIJAY B GOPAL PHYSICIAN PC
  • Facility Address: 216 WILLIS AVENUE, SUITE 101
    ROSLYN HEIGHTS, NY
    ZIP 11577
  • Facility Phone: 631 424-1170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIJAY B. GOPAL
  • NPI Number: 1336158187
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0669428
LAB Type Physician Office
Facility Name VIJAY B GOPAL PHYSICIAN PC
Street 216 WILLIS AVENUE, SUITE 101
City ROSLYN HEIGHTS
State NY
ZIP 11577
Phone 631 424-1170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. VIJAY B. GOPAL

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