33D1022772 CLIA NUMBER - RENU GUPTA MD PC

Laboratory Demographics

  • CLIA Code: 33D1022772
  • Facility Name: RENU GUPTA MD PC
  • Facility Address: 55 MOHAWK ST SUITE 101
    COHOES, NY
    ZIP 12047
  • Facility Phone: 518 235-1119
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENU GUPTA MD
  • NPI Number: 1942235213
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1022772
LAB Type Physician Office
Facility Name RENU GUPTA MD PC
Street 55 MOHAWK ST SUITE 101
City COHOES
State NY
ZIP 12047
Phone 518 235-1119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director RENU GUPTA MD

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