31D0979084 CLIA NUMBER - MAXIM KARABACH MD LLC

Laboratory Demographics

  • CLIA Code: 31D0979084
  • Facility Name: MAXIM KARABACH MD LLC
  • Facility Address: 67 LACEY ROAD, SUITE 5
    WHITING, NJ
    ZIP 08759
  • Facility Phone: 732 716-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAXIM KARABACH
  • NPI Number: 1144381005
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0979084
LAB Type Physician Office
Facility Name MAXIM KARABACH MD LLC
Street 67 LACEY ROAD, SUITE 5
City WHITING
State NJ
ZIP 08759
Phone 732 716-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director MAXIM KARABACH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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