34D2287108 CLIA NUMBER - KASAJI MEDICAL PC

Laboratory Demographics

  • CLIA Code: 34D2287108
  • Facility Name: KASAJI MEDICAL PC
  • Facility Address: 5820 E W T HARRIS BLVD STE B
    CHARLOTTE, NC
    ZIP 28215
  • Facility Phone: 914 589-9963
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD K. KASAJI
  • NPI Number: 1679263552
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2287108
LAB Type Physician Office
Facility Name KASAJI MEDICAL PC
Street 5820 E W T HARRIS BLVD STE B
City CHARLOTTE
State NC
ZIP 28215
Phone 914 589-9963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director MOHAMMAD K. KASAJI

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