33D2316835 CLIA NUMBER - 7 SUSAN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 33D2316835
  • Facility Name: 7 SUSAN MEDICAL PC
  • Facility Address: 770 GRAND BLVD UNIT 10
    DEER PARK, NY
    ZIP 11729
  • Facility Phone: 347 264-6436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAIQA IRAM
  • NPI Number: 1932914553
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2316835
LAB Type Physician Office
Facility Name 7 SUSAN MEDICAL PC
Street 770 GRAND BLVD UNIT 10
City DEER PARK
State NY
ZIP 11729
Phone 347 264-6436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director SAIQA IRAM

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