21D0220728 CLIA NUMBER - MANZAR SHAFI MD

Laboratory Demographics

  • CLIA Code: 21D0220728
  • Facility Name: MANZAR SHAFI MD
  • Facility Address: 368 MILL ST
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 739-4510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANZAR J. SHAFI MD PA
  • NPI Number: 1689655367
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0220728
LAB Type Physician Office
Facility Name MANZAR SHAFI MD
Street 368 MILL ST
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 739-4510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director MANZAR J. SHAFI MD PA

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