39D2188736 CLIA NUMBER - MONFARED PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 39D2188736
  • Facility Name: MONFARED PRIMARY CARE LLC
  • Facility Address: 124 NORTH 14TH STREET
    EASTON, PA
    ZIP 18042
  • Facility Phone: 610 438-0102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ZIBA R. MONFARED
  • NPI Number: 1346865458
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2188736
LAB Type Physician Office
Facility Name MONFARED PRIMARY CARE LLC
Street 124 NORTH 14TH STREET
City EASTON
State PA
ZIP 18042
Phone 610 438-0102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director DR. ZIBA R. MONFARED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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