33D0929596 CLIA NUMBER - RENAL CONSULTANT PC

Laboratory Demographics

  • CLIA Code: 33D0929596
  • Facility Name: RENAL CONSULTANT PC
  • Facility Address: ONE MEDICAL PARK DRIVE
    POMONA, NY
    ZIP 10970
  • Facility Phone: 845 362-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LALITHA RAVICHANDRAN
  • NPI Number: 1275557753
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0929596
LAB Type Physician Office
Facility Name RENAL CONSULTANT PC
Street ONE MEDICAL PARK DRIVE
City POMONA
State NY
ZIP 10970
Phone 845 362-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director DR. LALITHA RAVICHANDRAN

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