31D1076291 CLIA NUMBER - MAHMOODAH PERVEEN MD

Laboratory Demographics

  • CLIA Code: 31D1076291
  • Facility Name: MAHMOODAH PERVEEN MD
  • Facility Address: 534 AVENUE E SUITE 1 D
    BAYONNE, NJ
    ZIP 07002
  • Facility Phone: 201 858-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHMOODAH PERVEEN MD
  • NPI Number: 1841206208
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1076291
LAB Type Physician Office
Facility Name MAHMOODAH PERVEEN MD
Street 534 AVENUE E SUITE 1 D
City BAYONNE
State NJ
ZIP 07002
Phone 201 858-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director MAHMOODAH PERVEEN MD

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