31D2322240 CLIA NUMBER - MAA MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 31D2322240
  • Facility Name: MAA MEDICAL ASSOCIATES
  • Facility Address: 400 FRANKLIN TURNPIKE SUITE 104
    MAHWAH, NJ
    ZIP 07430
  • Facility Phone: 201 995-1005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADEEHA SHAHZADI
  • NPI Number: 1053175000
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2322240
LAB Type Physician Office
Facility Name MAA MEDICAL ASSOCIATES
Street 400 FRANKLIN TURNPIKE SUITE 104
City MAHWAH
State NJ
ZIP 07430
Phone 201 995-1005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director MADEEHA SHAHZADI

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