33D2084096 CLIA NUMBER - CHISTA SAFAJOU, MD

Laboratory Demographics

  • CLIA Code: 33D2084096
  • Facility Name: CHISTA SAFAJOU, MD
  • Facility Address: 68 WEST CEDAR STREET
    POUGHKEEPSIE, NY
    ZIP 12601
  • Facility Phone: 845 433-0101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHISTA SAFAJOU
  • NPI Number: 1093845547
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. CHISTA SAFAJOU

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