33D2034258 CLIA NUMBER - HP MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2034258
  • Facility Name: HP MEDICAL PC
  • Facility Address: 774 BROADWAY SUITE 2B
    BROOKLYN, NY
    ZIP 11206
  • Facility Phone: 347 335-0305
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HARI POLAVARAPU
  • NPI Number: 1497161855
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2034258
LAB Type Physician Office
Facility Name HP MEDICAL PC
Street 774 BROADWAY SUITE 2B
City BROOKLYN
State NY
ZIP 11206
Phone 347 335-0305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director DR. HARI POLAVARAPU

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This page was last updated on: 3/20/2025