33D2084096 CLIA NUMBER - CHISTA SAFAJOU, MD

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Laboratory Demographics

CLIA Number: 33D2084096

Facility Name: CHISTA SAFAJOU, MD

Facility Address:
68 WEST CEDAR STREET
POUGHKEEPSIE, NY
ZIP 12601
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Facility Phone Number: 845 433-0101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093845547

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	33D2084096
LAB Type	Physician Office
Facility Name	CHISTA SAFAJOU, MD
Street	68 WEST CEDAR STREET
City	POUGHKEEPSIE
State	NY
ZIP	12601
Phone	845 433-0101
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024