33D0167620 CLIA NUMBER - MIRZA M ASHRAF MD

Laboratory Demographics

  • CLIA Code: 33D0167620
  • Facility Name: MIRZA M ASHRAF MD
  • Facility Address: 1001 WEST STREET ROAD
    CARTHAGE, NY
    ZIP 13619
  • Facility Phone: 315 782-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRZA M. ASHRAF
  • NPI Number: 1205885514
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0167620
LAB Type Physician Office
Facility Name MIRZA M ASHRAF MD
Street 1001 WEST STREET ROAD
City CARTHAGE
State NY
ZIP 13619
Phone 315 782-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MIRZA M. ASHRAF

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