33D2191643 CLIA NUMBER - MEHTA MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2191643
  • Facility Name: MEHTA MEDICAL PC
  • Facility Address: 3979 LACONIA AVENUE
    BRONX, NY
    ZIP 10466
  • Facility Phone: 347 442-7656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NEETA MEHTA
  • NPI Number: 1861977316
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2191643
LAB Type Physician Office
Facility Name MEHTA MEDICAL PC
Street 3979 LACONIA AVENUE
City BRONX
State NY
ZIP 10466
Phone 347 442-7656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. NEETA MEHTA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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