33D0967171 CLIA NUMBER - KIRAN TRIVEDI, DO

Laboratory Demographics

  • CLIA Code: 33D0967171
  • Facility Name: KIRAN TRIVEDI, DO
  • Facility Address: ONE GRANT AVENUE
    ISLIP, NY
    ZIP 11751
  • Facility Phone: 631 859-1920
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIRAN TRIVEDI
  • NPI Number: 1306943048
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0967171
LAB Type Physician Office
Facility Name KIRAN TRIVEDI, DO
Street ONE GRANT AVENUE
City ISLIP
State NY
ZIP 11751
Phone 631 859-1920
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director KIRAN TRIVEDI

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