31D0951652 CLIA NUMBER - SAFWAT SHAKER MD PC

Laboratory Demographics

  • CLIA Code: 31D0951652
  • Facility Name: SAFWAT SHAKER MD PC
  • Facility Address: 155 POLIFLY ROAD
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 343-6360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAFWAT SHAKER MD
  • NPI Number: 1144246042
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0951652
LAB Type Physician Office
Facility Name SAFWAT SHAKER MD PC
Street 155 POLIFLY ROAD
City HACKENSACK
State NJ
ZIP 07601
Phone 201 343-6360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director SAFWAT SHAKER MD

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