21D0220728 CLIA NUMBER - MANZAR SHAFI MD

Laboratory Demographics

CLIA Number: 21D0220728

Facility Name: MANZAR SHAFI MD

Facility Address:
368 MILL ST
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 739-4510

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689655367

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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
CertificateType 4
CertificateEffectiveDate 4/21/2024
CertificateExpirationDate 4/20/2026
FacilityType Waiver

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