33D1083292 CLIA NUMBER - AXIS MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D1083292
  • Facility Name: AXIS MEDICAL PLLC
  • Facility Address: 15 FULTON AVENUE, LOWER LEVEL
    POUGHKEEPSIE, NY
    ZIP 12603
  • Facility Phone: 845 635-3621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATEL S. DEEPESH
  • NPI Number: 1568916906
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D1083292
LAB Type Physician Office
Facility Name AXIS MEDICAL PLLC
Street 15 FULTON AVENUE, LOWER LEVEL
City POUGHKEEPSIE
State NY
ZIP 12603
Phone 845 635-3621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. PATEL S. DEEPESH

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