33D0940599 CLIA NUMBER - VINOD GULATI/BRIJESH K GOYAL

Laboratory Demographics

  • CLIA Code: 33D0940599
  • Facility Name: VINOD GULATI/BRIJESH K GOYAL
  • Facility Address: 333 BROADWAY
    AMITYVILLE, NY
    ZIP 11701
  • Facility Phone: 516 789-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINOD GULATI
  • NPI Number: 1306852942
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0940599
LAB Type Physician Office
Facility Name VINOD GULATI/BRIJESH K GOYAL
Street 333 BROADWAY
City AMITYVILLE
State NY
ZIP 11701
Phone 516 789-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director VINOD GULATI

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