22D1015826 CLIA NUMBER - HANJANI PC

Laboratory Demographics

  • CLIA Code: 22D1015826
  • Facility Name: HANJANI PC
  • Facility Address: 830 OAK ST SUITE 201W
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 781 585-9522
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SOHEIL HANJANI
  • NPI Number: 1558427070
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director SOHEIL HANJANI

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