33D2022846 CLIA NUMBER - SATHISH R MODUGU MEDICAL PC SPORTS SPINE & PAIN TREATMENT CENTER, THE

Laboratory Demographics

  • CLIA Code: 33D2022846
  • Facility Name: SATHISH R MODUGU MEDICAL PC SPORTS SPINE & PAIN TREATMENT CENTER, THE
  • Facility Address: 280 NORTH CENTRAL AVENUE, SUITE 204
    HARTSDALE, NY
    ZIP 10530
  • Facility Phone: 914 681-9750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SATHISH R. MODUGU
  • NPI Number: 1992705859
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2022846
LAB Type Physician Office
Facility Name SATHISH R MODUGU MEDICAL PC SPORTS SPINE & PAIN TREATMENT CENTER, THE
Street 280 NORTH CENTRAL AVENUE, SUITE 204
City HARTSDALE
State NY
ZIP 10530
Phone 914 681-9750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director DR. SATHISH R. MODUGU

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