31D0106536 CLIA NUMBER - JEAN P MAKHLOUF MD FAAP PA

Laboratory Demographics

  • CLIA Code: 31D0106536
  • Facility Name: JEAN P MAKHLOUF MD FAAP PA
  • Facility Address: 556 EAGLE ROCK AVE SUITE #106
    ROSELAND, NJ
    ZIP 07068
  • Facility Phone: 201 228-9190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEAN MAKHLOUF MD
  • NPI Number: 1881795912
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0106536
LAB Type Physician Office
Facility Name JEAN P MAKHLOUF MD FAAP PA
Street 556 EAGLE ROCK AVE SUITE #106
City ROSELAND
State NJ
ZIP 07068
Phone 201 228-9190
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 JEAN MAKHLOUF MD

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