33D1055172 CLIA NUMBER - SUJATHA MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1055172
  • Facility Name: SUJATHA MEDICAL PC
  • Facility Address: 214-14 HILLSIDE AVENUE
    QUEENS VILLAGE, NY
    ZIP 11427
  • Facility Phone: (718) 264-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUJATHA RAJAN
  • NPI Number: 1720129737
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1055172
LAB Type Physician Office
Facility Name SUJATHA MEDICAL PC
Street 214-14 HILLSIDE AVENUE
City QUEENS VILLAGE
State NY
ZIP 11427
Phone 7182642700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2026
Certificate Expiration Date 6/11/2028
Facility Type Physician Office
Lab Director SUJATHA RAJAN

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This page was last updated on: 5/18/2026