31D0102735 CLIA NUMBER - SIMONE-CONDO PA

Laboratory Demographics

  • CLIA Code: 31D0102735
  • Facility Name: SIMONE-CONDO PA
  • Facility Address: 622 BROADWAY
    BAYONNE, NJ
    ZIP 07002
  • Facility Phone: 201 436-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMINICK CONDO
  • NPI Number: 1588764500
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0102735
LAB Type Physician Office
Facility Name SIMONE-CONDO PA
Street 622 BROADWAY
City BAYONNE
State NJ
ZIP 07002
Phone 201 436-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DOMINICK CONDO

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