33D2175947 CLIA NUMBER - KS MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2175947
  • Facility Name: KS MEDICAL PC
  • Facility Address: 1721 86TH STREET
    BROOKLYN, NY
    ZIP 11214
  • Facility Phone: 718 331-6064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRAMOD SANGHI
  • NPI Number: 1295131506
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2175947
LAB Type Physician Office
Facility Name KS MEDICAL PC
Street 1721 86TH STREET
City BROOKLYN
State NY
ZIP 11214
Phone 718 331-6064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director DR. PRAMOD SANGHI

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