33D0941310 CLIA NUMBER - DR DHANSUKH M PATEL

Laboratory Demographics

  • CLIA Code: 33D0941310
  • Facility Name: DR DHANSUKH M PATEL
  • Facility Address: 11 PARK AVENUE SUITE 1K
    MOUNT VERNON, NY
    ZIP 10550
  • Facility Phone: 914 668-6140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHANSUKH M. PATEL
  • NPI Number: 1669737516
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0941310
LAB Type Physician Office
Facility Name DR DHANSUKH M PATEL
Street 11 PARK AVENUE SUITE 1K
City MOUNT VERNON
State NY
ZIP 10550
Phone 914 668-6140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director DHANSUKH M. PATEL

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