31D2277964 CLIA NUMBER - SHADWA HASSAN DO LLC

Laboratory Demographics

  • CLIA Code: 31D2277964
  • Facility Name: SHADWA HASSAN DO LLC
  • Facility Address: 14 SNOWHILL STREET, SUITE A
    SPOTSWOOD, NJ
    ZIP 08884
  • Facility Phone: 732 956-8934
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHADWA E. HASSAN
  • NPI Number: 1437536349
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2277964
LAB Type Physician Office
Facility Name SHADWA HASSAN DO LLC
Street 14 SNOWHILL STREET, SUITE A
City SPOTSWOOD
State NJ
ZIP 08884
Phone 732 956-8934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director SHADWA E. HASSAN

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