33D1025136 CLIA NUMBER - RENA KHANUKAYERA DO

Laboratory Demographics

  • CLIA Code: 33D1025136
  • Facility Name: RENA KHANUKAYERA DO
  • Facility Address: 34 DUMONT AVE
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: 718 667-0297
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RENA KHANUKAYERA
  • NPI Number: 1255358164
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1025136
LAB Type Physician Office
Facility Name RENA KHANUKAYERA DO
Street 34 DUMONT AVE
City STATEN ISLAND
State NY
ZIP 10305
Phone 718 667-0297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. RENA KHANUKAYERA

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