31D0954035 CLIA NUMBER - TAONEI MUSHAYANDEBVU MD

Laboratory Demographics

  • CLIA Code: 31D0954035
  • Facility Name: TAONEI MUSHAYANDEBVU MD
  • Facility Address: 2777 KENNEDY BLVD
    JERSEY CITY, NJ
    ZIP 07306
  • Facility Phone: 201 963-4200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAONEI I. MUSHAYANDEBVU MD
  • NPI Number: 1235148198
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D0954035
LAB Type Physician Office
Facility Name TAONEI MUSHAYANDEBVU MD
Street 2777 KENNEDY BLVD
City JERSEY CITY
State NJ
ZIP 07306
Phone 201 963-4200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director TAONEI I. MUSHAYANDEBVU MD

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