31D0108444 CLIA NUMBER - JAMES V AGRESTI, DO, LLC

Laboratory Demographics

  • CLIA Code: 31D0108444
  • Facility Name: JAMES V AGRESTI, DO, LLC
  • Facility Address: 181 FRANKLIN AVE, SUITE 201
    NUTLEY, NJ
    ZIP 07110
  • Facility Phone: 973 284-0777
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMES V. AGRESTI
  • NPI Number: 1255389813
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0108444
LAB Type Practitioner Other
Facility Name JAMES V AGRESTI, DO, LLC
Street 181 FRANKLIN AVE, SUITE 201
City NUTLEY
State NJ
ZIP 07110
Phone 973 284-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Practitioner Other
Lab Director JAMES V. AGRESTI

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