33D0985303 CLIA NUMBER - CHAULA PATEL MD

Laboratory Demographics

  • CLIA Code: 33D0985303
  • Facility Name: CHAULA PATEL MD
  • Facility Address: 1560 GRAND CONCOURSE SUITE 102
    BRONX, NY
    ZIP 10457
  • Facility Phone: 718 733-6369
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAULA PATEL
  • NPI Number: 1861570558
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0985303
LAB Type Physician Office
Facility Name CHAULA PATEL MD
Street 1560 GRAND CONCOURSE SUITE 102
City BRONX
State NY
ZIP 10457
Phone 718 733-6369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director CHAULA PATEL

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This page was last updated on: 3/20/2025