39D0935315 CLIA NUMBER - MUKESH A PATEL MD

Laboratory Demographics

  • CLIA Code: 39D0935315
  • Facility Name: MUKESH A PATEL MD
  • Facility Address: 1421 LINCOLN AVENUE
    PROSPECT PARK, PA
    ZIP 19076
  • Facility Phone: 610 532-5343
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUKESH A. PATEL MD
  • NPI Number: 1730185950
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0935315
LAB Type Physician Office
Facility Name MUKESH A PATEL MD
Street 1421 LINCOLN AVENUE
City PROSPECT PARK
State PA
ZIP 19076
Phone 610 532-5343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director MUKESH A. PATEL MD

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