22D1015826 CLIA NUMBER - HANJANI PC

Laboratory Demographics

CLIA Number: 22D1015826

Facility Name: HANJANI PC

Facility Address:
830 OAK ST SUITE 201W
BROCKTON, MA
ZIP 02301
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Facility Phone Number: 781 585-9522

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1558427070

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 22D1015826
LAB Type Physician Office
Facility Name HANJANI PC
Street 830 OAK ST SUITE 201W
City BROCKTON
State MA
ZIP 02301
Phone 781 585-9522
CertificateType 3
CertificateEffectiveDate 8/23/2023
CertificateExpirationDate 8/22/2025
FacilityType PPMP

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