33D1093683 CLIA NUMBER - MUDGIL DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 33D1093683
  • Facility Name: MUDGIL DERMATOLOGY PC
  • Facility Address: 99 WOODBURY ROAD
    HICKSVILLE, NY
    ZIP 11801
  • Facility Phone: 516 595-7454
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ADARSH V. MUDGIL
  • NPI Number: 1861649519
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D1093683
LAB Type Physician Office
Facility Name MUDGIL DERMATOLOGY PC
Street 99 WOODBURY ROAD
City HICKSVILLE
State NY
ZIP 11801
Phone 516 595-7454
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/24/2011
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ADARSH V. MUDGIL

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