33D1004232 CLIA NUMBER - PRASUNA R NUKALAPATI MD

Laboratory Demographics

  • CLIA Code: 33D1004232
  • Facility Name: PRASUNA R NUKALAPATI MD
  • Facility Address: 4673 PARK AVE #1S
    BRONX, NY
    ZIP 10458
  • Facility Phone: 718 365-5413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRASUNA R. NUKALAPATI
  • NPI Number: 1497744841
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1004232
LAB Type Physician Office
Facility Name PRASUNA R NUKALAPATI MD
Street 4673 PARK AVE #1S
City BRONX
State NY
ZIP 10458
Phone 718 365-5413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director PRASUNA R. NUKALAPATI

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