31D2005993 CLIA NUMBER - DEWAN KHAN MD

Laboratory Demographics

  • CLIA Code: 31D2005993
  • Facility Name: DEWAN KHAN MD
  • Facility Address: 146 NEW BRUNSWICK AVE
    PERTH AMBOY, NJ
    ZIP 08861
  • Facility Phone: 732 697-1919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEWAN KHAN MD
  • NPI Number: 1306914825
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2005993
LAB Type Physician Office
Facility Name DEWAN KHAN MD
Street 146 NEW BRUNSWICK AVE
City PERTH AMBOY
State NJ
ZIP 08861
Phone 732 697-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director DEWAN KHAN MD

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