31D0107985 CLIA NUMBER - ST MICHAEL'S MEDICAL CENTER CLINICAL LABORATORIES- ANNEX LEVEL 6

Laboratory Demographics

  • CLIA Code: 31D0107985
  • Facility Name: ST MICHAEL'S MEDICAL CENTER CLINICAL LABORATORIES- ANNEX LEVEL 6
  • Facility Address: 111 CENTRAL AVENUE ANNEX BUILDING 6TH FLOOR
    NEWARK, NJ
    ZIP 07102
  • Facility Phone: 201 877-5200
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARIO S. GONZALEZ
  • NPI Number: 1811942766
  • Taxonomy: 207RI0200X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0107985
LAB Type Hospital
Facility Name ST MICHAEL'S MEDICAL CENTER CLINICAL LABORATORIES- ANNEX LEVEL 6
Street 111 CENTRAL AVENUE ANNEX BUILDING 6TH FLOOR
City NEWARK
State NJ
ZIP 07102
Phone 201 877-5200
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. MARIO S. GONZALEZ

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