31D1028648 CLIA NUMBER - ELSAID BALBOUL MD

Laboratory Demographics

  • CLIA Code: 31D1028648
  • Facility Name: ELSAID BALBOUL MD
  • Facility Address: 508 HAMBURG TURNPIKE SUITE 201
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 942-1340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELSAID BALBOUL MD
  • NPI Number: 1467421339
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1028648
LAB Type Physician Office
Facility Name ELSAID BALBOUL MD
Street 508 HAMBURG TURNPIKE SUITE 201
City WAYNE
State NJ
ZIP 07470
Phone 973 942-1340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director ELSAID BALBOUL MD

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