31D0687621 CLIA NUMBER - SOFIA SHAPIRO MD

Laboratory Demographics

  • CLIA Code: 31D0687621
  • Facility Name: SOFIA SHAPIRO MD
  • Facility Address: 511 SOUTH ORANGE AVENUE
    SOUTH ORANGE, NJ
    ZIP 07079
  • Facility Phone: 973 763-8950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOFIA SHAPIRO MD
  • NPI Number: 1265581714
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0687621
LAB Type Physician Office
Facility Name SOFIA SHAPIRO MD
Street 511 SOUTH ORANGE AVENUE
City SOUTH ORANGE
State NJ
ZIP 07079
Phone 973 763-8950
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 SOFIA SHAPIRO MD

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