31D0716797 CLIA NUMBER - AMINA ELKASSIR MD

Laboratory Demographics

  • CLIA Code: 31D0716797
  • Facility Name: AMINA ELKASSIR MD
  • Facility Address: 487 EDSALL BLVD
    FORT LEE, NJ
    ZIP 07024
  • Facility Phone: 201 224-4300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMINA ELKASSIR
  • NPI Number: 1518909290
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0716797
LAB Type Physician Office
Facility Name AMINA ELKASSIR MD
Street 487 EDSALL BLVD
City FORT LEE
State NJ
ZIP 07024
Phone 201 224-4300
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 AMINA ELKASSIR

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