33D0949476 CLIA NUMBER - 609 FULTON PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D0949476
  • Facility Name: 609 FULTON PEDIATRICS PC
  • Facility Address: 609 FULTON AVENUE
    HEMPSTEAD, NY
    ZIP 11550
  • Facility Phone: 516 489-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHITAL S. SHETH
  • NPI Number: 1922393321
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0949476
LAB Type Physician Office
Facility Name 609 FULTON PEDIATRICS PC
Street 609 FULTON AVENUE
City HEMPSTEAD
State NY
ZIP 11550
Phone 516 489-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director DR. SHITAL S. SHETH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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