33D2151253 CLIA NUMBER - RAJIV BANSAL MD PC

Laboratory Demographics

  • CLIA Code: 33D2151253
  • Facility Name: RAJIV BANSAL MD PC
  • Facility Address: 2001 MARCUS AVE E130
    LAKE SUCCESS, NY
    ZIP 11042
  • Facility Phone: 516 437-6900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ZHANQING YAN
  • NPI Number: 1477605392
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2151253
LAB Type Physician Office
Facility Name RAJIV BANSAL MD PC
Street 2001 MARCUS AVE E130
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 437-6900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director DR. ZHANQING YAN

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