33D2150095 CLIA NUMBER - AIRMONT PHYSICIAN SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 33D2150095
  • Facility Name: AIRMONT PHYSICIAN SERVICES PLLC
  • Facility Address: 5 N AIRMONT RD - SUITE 4
    AIRMONT, NY
    ZIP 10901
  • Facility Phone: (845) 547-0300
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. RAJESH GUPTA
  • NPI Number: 1760976559
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2150095
LAB Type Community Clinic
Facility Name AIRMONT PHYSICIAN SERVICES PLLC
Street 5 N AIRMONT RD - SUITE 4
City AIRMONT
State NY
ZIP 10901
Phone 8455470300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2018
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. RAJESH GUPTA

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This page was last updated on: 5/18/2026