31D1104830 CLIA NUMBER - GANCHI PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 31D1104830
  • Facility Name: GANCHI PLASTIC SURGERY
  • Facility Address: 246 HAMBURG TURNPIKE # 307
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 942-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARHAM A. GANCHI
  • NPI Number: 1063031862
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D1104830
LAB Type Physician Office
Facility Name GANCHI PLASTIC SURGERY
Street 246 HAMBURG TURNPIKE # 307
City WAYNE
State NJ
ZIP 07470
Phone 973 942-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director PARHAM A. GANCHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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