39D0876693 CLIA NUMBER - PRAGNESH A DESAI DO LABORATORY

Laboratory Demographics

CLIA Number: 39D0876693

Facility Name: PRAGNESH A DESAI DO LABORATORY

Facility Address:
6081 HAMILTON BOULEVARD SUITE 101
ALLENTOWN, PA
ZIP 18106
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Facility Phone Number: 610 366-2112

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952393217

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	39D0876693
LAB Type	Physician Office
Facility Name	PRAGNESH A DESAI DO LABORATORY
Street	6081 HAMILTON BOULEVARD SUITE 101
City	ALLENTOWN
State	PA
ZIP	18106
Phone	610 366-2112
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024