33D1043811 CLIA NUMBER - MITUL R PATEL, MD

Laboratory Demographics

  • CLIA Code: 33D1043811
  • Facility Name: MITUL R PATEL, MD
  • Facility Address: 250 PATCHOGUE - YAPHANK ROAD, SUITE 7
    PATCHOGUE, NY
    ZIP 11772
  • Facility Phone: 631 289-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MITUL R. PATEL
  • NPI Number: 1285615120
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 33D1043811
LAB Type Physician Office
Facility Name MITUL R PATEL, MD
Street 250 PATCHOGUE - YAPHANK ROAD, SUITE 7
City PATCHOGUE
State NY
ZIP 11772
Phone 631 289-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director DR. MITUL R. PATEL

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