31D0883503 CLIA NUMBER - SHAUKAT M QURESHI

Laboratory Demographics

  • CLIA Code: 31D0883503
  • Facility Name: SHAUKAT M QURESHI
  • Facility Address: 250 S BROADWAY SUITE B
    PENNSVILLE, NJ
    ZIP 08070
  • Facility Phone: (609) 970-4633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUKAT M. QURESHI
  • NPI Number: 1821019373
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D0883503
LAB Type Physician Office
Facility Name SHAUKAT M QURESHI
Street 250 S BROADWAY SUITE B
City PENNSVILLE
State NJ
ZIP 08070
Phone 6099704633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director SHAUKAT M. QURESHI

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This page was last updated on: 5/18/2026