31D1081080 CLIA NUMBER - KISHWAR SHAREEF MD

Laboratory Demographics

  • CLIA Code: 31D1081080
  • Facility Name: KISHWAR SHAREEF MD
  • Facility Address: 447 ROUTE 10 EAST SUITE # 15
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 442-3016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KISHWAR SHAREEF MD
  • NPI Number: 1659348142
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1081080
LAB Type Physician Office
Facility Name KISHWAR SHAREEF MD
Street 447 ROUTE 10 EAST SUITE # 15
City RANDOLPH
State NJ
ZIP 07869
Phone 973 442-3016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director KISHWAR SHAREEF MD

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