31D0106184 CLIA NUMBER - THOMAS J CASSIDY MD, LLC

Laboratory Demographics

  • CLIA Code: 31D0106184
  • Facility Name: THOMAS J CASSIDY MD, LLC
  • Facility Address: 3910 PARK AVE SUITE 8
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 732 767-3130
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN J. CASSIDY MD
  • NPI Number: 1174612295
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0106184
LAB Type Physician Office
Facility Name THOMAS J CASSIDY MD, LLC
Street 3910 PARK AVE SUITE 8
City EDISON
State NJ
ZIP 08820
Phone 732 767-3130
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director BRIAN J. CASSIDY MD

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