31D0105364 CLIA NUMBER - FIRSTCARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D0105364
  • Facility Name: FIRSTCARE MEDICAL GROUP
  • Facility Address: 50 POMPTON AVENUE
    VERONA, NJ
    ZIP 07044
  • Facility Phone: 201 857-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE J. AMBROSIO
  • NPI Number: 1225134695
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0105364
LAB Type Physician Office
Facility Name FIRSTCARE MEDICAL GROUP
Street 50 POMPTON AVENUE
City VERONA
State NJ
ZIP 07044
Phone 201 857-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director GEORGE J. AMBROSIO

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: 3/20/2025