31D2173322 CLIA NUMBER - MAGDY BASTA, MD

Laboratory Demographics

  • CLIA Code: 31D2173322
  • Facility Name: MAGDY BASTA, MD
  • Facility Address: 1035 ROUTE 46 EAST, SUITE G01
    CLIFTON, NJ
    ZIP 07013
  • Facility Phone: (973) 249-7620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAGDY BASTA
  • NPI Number: 1366458689
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2173322
LAB Type Physician Office
Facility Name MAGDY BASTA, MD
Street 1035 ROUTE 46 EAST, SUITE G01
City CLIFTON
State NJ
ZIP 07013
Phone 9732497620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director MAGDY BASTA

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This page was last updated on: 5/18/2026