33D1042225 CLIA NUMBER - SI MEDICAL PRACTICE ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 33D1042225
  • Facility Name: SI MEDICAL PRACTICE ASSOCIATES PC
  • Facility Address: 1147 RICHMOND ROAD
    STATEN ISLAND, NY
    ZIP 10304
  • Facility Phone: 718 668-2340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AZHER U. SIDDIQI
  • NPI Number: 1265505036
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1042225
LAB Type Physician Office
Facility Name SI MEDICAL PRACTICE ASSOCIATES PC
Street 1147 RICHMOND ROAD
City STATEN ISLAND
State NY
ZIP 10304
Phone 718 668-2340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director DR. AZHER U. SIDDIQI

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