31D1006258 CLIA NUMBER - MARIAM MANIYA INTERNAL MEDICINE PC HAMILTON

Laboratory Demographics

  • CLIA Code: 31D1006258
  • Facility Name: MARIAM MANIYA INTERNAL MEDICINE PC HAMILTON
  • Facility Address: 1078 WHITE HORSE AVE
    HAMILTON, NJ
    ZIP 08610
  • Facility Phone: 609 581-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR MANIYA
  • NPI Number: 1598795411
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1006258
LAB Type Physician Office
Facility Name MARIAM MANIYA INTERNAL MEDICINE PC HAMILTON
Street 1078 WHITE HORSE AVE
City HAMILTON
State NJ
ZIP 08610
Phone 609 581-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director OMAR MANIYA

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