33D0676855 CLIA NUMBER - GOMATHI PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D0676855
  • Facility Name: GOMATHI PEDIATRICS PLLC
  • Facility Address: 20 SQUADRON BOULEVARD SUITE 600
    NEW CITY, NY
    ZIP 10956
  • Facility Phone: 845 634-8911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GOMATHI ADHIYAMAN
  • NPI Number: 1336573427
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0676855
LAB Type Physician Office
Facility Name GOMATHI PEDIATRICS PLLC
Street 20 SQUADRON BOULEVARD SUITE 600
City NEW CITY
State NY
ZIP 10956
Phone 845 634-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. GOMATHI ADHIYAMAN

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