33D1091619 CLIA NUMBER - BASHIR AHMED MD

Laboratory Demographics

  • CLIA Code: 33D1091619
  • Facility Name: BASHIR AHMED MD
  • Facility Address: 1787 MIDDLE COUNTRY ROAD - STE B
    CENTEREACH, NY
    ZIP 11720
  • Facility Phone: 631 320-3053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BASHIR AHMED
  • NPI Number: 1336552926
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1091619
LAB Type Physician Office
Facility Name BASHIR AHMED MD
Street 1787 MIDDLE COUNTRY ROAD - STE B
City CENTEREACH
State NY
ZIP 11720
Phone 631 320-3053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director DR. BASHIR AHMED

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