33D0913826 CLIA NUMBER - RANDHIR K BAJAJ MD

Laboratory Demographics

  • CLIA Code: 33D0913826
  • Facility Name: RANDHIR K BAJAJ MD
  • Facility Address: 66-29 GRAND AVENUE
    MASPETH, NY
    ZIP 11378
  • Facility Phone: 718 459-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RANDHIR K. BAJAJ
  • NPI Number: 1063536662
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0913826
LAB Type Physician Office
Facility Name RANDHIR K BAJAJ MD
Street 66-29 GRAND AVENUE
City MASPETH
State NY
ZIP 11378
Phone 718 459-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director DR. RANDHIR K. BAJAJ

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This page was last updated on: 3/20/2025