33D2065728 CLIA NUMBER - ADEETI GUPTA PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D2065728
  • Facility Name: ADEETI GUPTA PHYSICIAN PC
  • Facility Address: 70-01 METROPOLITAN AVENUE
    MIDDLE VILLAGE, NY
    ZIP 11379
  • Facility Phone: 718 898-1170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADEETI GUPTA
  • NPI Number: 1447509989
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D2065728
LAB Type Physician Office
Facility Name ADEETI GUPTA PHYSICIAN PC
Street 70-01 METROPOLITAN AVENUE
City MIDDLE VILLAGE
State NY
ZIP 11379
Phone 718 898-1170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director DR. ADEETI GUPTA

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