31D1055495 CLIA NUMBER - SHAMRA MEDICAL LABORATORY, LLC

Laboratory Demographics

  • CLIA Code: 31D1055495
  • Facility Name: SHAMRA MEDICAL LABORATORY, LLC
  • Facility Address: 950 STATE ROUTE 35
    MIDDLETOWN, NJ
    ZIP 07748
  • Facility Phone: 732 888-0017
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMMAR BAZERBASHI
  • NPI Number: 1063789170
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1055495
LAB Type Physician Office
Facility Name SHAMRA MEDICAL LABORATORY, LLC
Street 950 STATE ROUTE 35
City MIDDLETOWN
State NJ
ZIP 07748
Phone 732 888-0017
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/1/2022
Certificate Expiration Date 3/31/2025
Facility Type Physician Office
Lab Director AMMAR BAZERBASHI

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This page was last updated on: 3/20/2025