39D0988237 CLIA NUMBER - MUSADDIQ N NAZEERI MD PC LABORATORY

Laboratory Demographics

  • CLIA Code: 39D0988237
  • Facility Name: MUSADDIQ N NAZEERI MD PC LABORATORY
  • Facility Address: 1023 POPLAR STREET
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 270-9446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUSADDIQ N. NAZEERI MD
  • NPI Number: 1104948082
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0988237
LAB Type Physician Office
Facility Name MUSADDIQ N NAZEERI MD PC LABORATORY
Street 1023 POPLAR STREET
City LEBANON
State PA
ZIP 17042
Phone 717 270-9446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director MUSADDIQ N. NAZEERI MD

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