31D0106025 CLIA NUMBER - AHKAMI MEDICAL GROUP PA

Laboratory Demographics

  • CLIA Code: 31D0106025
  • Facility Name: AHKAMI MEDICAL GROUP PA
  • Facility Address: 110 PASSAIC AVE
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: 201 471-9585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHROKH AHKAMI MD
  • NPI Number: 1295857365
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0106025
LAB Type Physician Office
Facility Name AHKAMI MEDICAL GROUP PA
Street 110 PASSAIC AVE
City PASSAIC
State NJ
ZIP 07055
Phone 201 471-9585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SHAHROKH AHKAMI MD

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