33D0721606 CLIA NUMBER - MINA SUN MD

Laboratory Demographics

  • CLIA Code: 33D0721606
  • Facility Name: MINA SUN MD
  • Facility Address: 463 SARATOGA ROAD
    SCOTIA, NY
    ZIP 12302
  • Facility Phone: 518 399-2233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINA SUN MD
  • NPI Number: 1043234271
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0721606
LAB Type Physician Office
Facility Name MINA SUN MD
Street 463 SARATOGA ROAD
City SCOTIA
State NY
ZIP 12302
Phone 518 399-2233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director MINA SUN MD

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