31D2297852 CLIA NUMBER - BETHANY CLINIC

Laboratory Demographics

  • CLIA Code: 31D2297852
  • Facility Name: BETHANY CLINIC
  • Facility Address: 1010 MAIN ST STE B208
    PATERSON, NJ
    ZIP 07503
  • Facility Phone: 973 574-3740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHATHA ABUDAMOUS
  • NPI Number: 1811655863
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2297852
LAB Type Physician Office
Facility Name BETHANY CLINIC
Street 1010 MAIN ST STE B208
City PATERSON
State NJ
ZIP 07503
Phone 973 574-3740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director SHATHA ABUDAMOUS

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