33D1022804 CLIA NUMBER - BRENA M DESAI, PEDIATRICIAN PC

Laboratory Demographics

  • CLIA Code: 33D1022804
  • Facility Name: BRENA M DESAI, PEDIATRICIAN PC
  • Facility Address: 157-15 46TH AVENUE
    FLUSHING, NY
    ZIP 11355
  • Facility Phone: 718 445-3029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRENA M. DESAI
  • NPI Number: 1619929502
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1022804
LAB Type Physician Office
Facility Name BRENA M DESAI, PEDIATRICIAN PC
Street 157-15 46TH AVENUE
City FLUSHING
State NY
ZIP 11355
Phone 718 445-3029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director DR. BRENA M. DESAI

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This page was last updated on: 6/4/2025