33D1021090 CLIA NUMBER - RAJESWARA RAO PATCHA MD PC DBA THE HUNTINGTON HEART CENTER

Laboratory Demographics

  • CLIA Code: 33D1021090
  • Facility Name: RAJESWARA RAO PATCHA MD PC DBA THE HUNTINGTON HEART CENTER
  • Facility Address: 172 EAST MAIN STREET
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 385-0022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAJESWARA R. PATCHA
  • NPI Number: 1104829407
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1021090
LAB Type Physician Office
Facility Name RAJESWARA RAO PATCHA MD PC DBA THE HUNTINGTON HEART CENTER
Street 172 EAST MAIN STREET
City HUNTINGTON
State NY
ZIP 11743
Phone 631 385-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director DR. RAJESWARA R. PATCHA

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