33D1093679 CLIA NUMBER - VIDYA VALADA INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 33D1093679
  • Facility Name: VIDYA VALADA INTERNAL MEDICINE PC
  • Facility Address: 800A FIFTH AVENUE, SUITE 206
    NEW YORK, NY
    ZIP 10065
  • Facility Phone: 212 755-0037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIDYA VALADA
  • NPI Number: 1336186758
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1093679
LAB Type Physician Office
Facility Name VIDYA VALADA INTERNAL MEDICINE PC
Street 800A FIFTH AVENUE, SUITE 206
City NEW YORK
State NY
ZIP 10065
Phone 212 755-0037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director DR. VIDYA VALADA

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