31D2229368 CLIA NUMBER - SHAH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 31D2229368
  • Facility Name: SHAH PRIMARY CARE
  • Facility Address: 1680 23 N, SUITE 160
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: (973) 221-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIPRA SHAH
  • NPI Number: 1750056644
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2229368
LAB Type Physician Office
Facility Name SHAH PRIMARY CARE
Street 1680 23 N, SUITE 160
City WAYNE
State NJ
ZIP 07470
Phone 9732212500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director SHIPRA SHAH

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