31D0110932 CLIA NUMBER - NADEREH BEHNAM MD OB/GYN

Laboratory Demographics

  • CLIA Code: 31D0110932
  • Facility Name: NADEREH BEHNAM MD OB/GYN
  • Facility Address: 502 HAMBURG TPKE STE 103
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 790-7090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADEREH BEHNAM MD
  • NPI Number: 1326074568
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0110932
LAB Type Physician Office
Facility Name NADEREH BEHNAM MD OB/GYN
Street 502 HAMBURG TPKE STE 103
City WAYNE
State NJ
ZIP 07470
Phone 973 790-7090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director NADEREH BEHNAM MD

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