31D2329757 CLIA NUMBER - MUJTABA NP WALK IN CLINIC

Laboratory Demographics

  • CLIA Code: 31D2329757
  • Facility Name: MUJTABA NP WALK IN CLINIC
  • Facility Address: 624-628 MAIN ST
    PATERSON, NJ
    ZIP 07503
  • Facility Phone: 973 200-2430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEHJABEEN MUJTABA
  • NPI Number: 1629757323
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2329757
LAB Type Physician Office
Facility Name MUJTABA NP WALK IN CLINIC
Street 624-628 MAIN ST
City PATERSON
State NJ
ZIP 07503
Phone 973 200-2430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director MEHJABEEN MUJTABA

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