39D2106375 CLIA NUMBER - KAY, TABAS AND NIKNAM OPHTHALMOLOGY ASSOC

Laboratory Demographics

  • CLIA Code: 39D2106375
  • Facility Name: KAY, TABAS AND NIKNAM OPHTHALMOLOGY ASSOC
  • Facility Address: 50 MONUMENT ROAD #110
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 215 925-6760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RACHEL NIKNAM MD
  • NPI Number: 1629153028
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 39D2106375
LAB Type Physician Office
Facility Name KAY, TABAS AND NIKNAM OPHTHALMOLOGY ASSOC
Street 50 MONUMENT ROAD #110
City BALA CYNWYD
State PA
ZIP 19004
Phone 215 925-6760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director DR. RACHEL NIKNAM MD

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