33D1071884 CLIA NUMBER - PRADEEP SHARMA MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D1071884
  • Facility Name: PRADEEP SHARMA MEDICAL PC
  • Facility Address: 790 SENECA AVENUE
    RIDGEWOOD, NY
    ZIP 11385
  • Facility Phone: 718 821-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRADEEP SHARMA
  • NPI Number: 1164480570
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1071884
LAB Type Physician Office
Facility Name PRADEEP SHARMA MEDICAL PC
Street 790 SENECA AVENUE
City RIDGEWOOD
State NY
ZIP 11385
Phone 718 821-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director DR. PRADEEP SHARMA

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