33D1065898 CLIA NUMBER - NIRMALA NANJAPPA MD

Laboratory Demographics

  • CLIA Code: 33D1065898
  • Facility Name: NIRMALA NANJAPPA MD
  • Facility Address: 40 PARK AVENUE
    SUFFERN, NY
    ZIP 10901
  • Facility Phone: 845 369-0077
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NIRMALA NANJAPPA
  • NPI Number: 1699734970
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1065898
LAB Type Physician Office
Facility Name NIRMALA NANJAPPA MD
Street 40 PARK AVENUE
City SUFFERN
State NY
ZIP 10901
Phone 845 369-0077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director DR. NIRMALA NANJAPPA

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