39D2139067 CLIA NUMBER - NASPAC - NJ, PLLC (WG)

Laboratory Demographics

  • CLIA Code: 39D2139067
  • Facility Name: NASPAC - NJ, PLLC (WG)
  • Facility Address: 2325 MARYLAND AVE SUITE 100
    WILLOW GROVE, PA
    ZIP 19090
  • Facility Phone: 215 657-1315
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ABHIJEET RASTOGI
  • NPI Number: 1972151207
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2139067
LAB Type Physician Office
Facility Name NASPAC - NJ, PLLC (WG)
Street 2325 MARYLAND AVE SUITE 100
City WILLOW GROVE
State PA
ZIP 19090
Phone 215 657-1315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director DR. ABHIJEET RASTOGI

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