31D0109205 CLIA NUMBER - SHULMAN UROLOGY PA

Laboratory Demographics

  • CLIA Code: 31D0109205
  • Facility Name: SHULMAN UROLOGY PA
  • Facility Address: 2255 KENNEDY BLVD
    JERSEY CITY, NJ
    ZIP 07304
  • Facility Phone: 201 433-1057
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GHASSAN G. BASSIL
  • NPI Number: 1457444242
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0109205
LAB Type Physician Office
Facility Name SHULMAN UROLOGY PA
Street 2255 KENNEDY BLVD
City JERSEY CITY
State NJ
ZIP 07304
Phone 201 433-1057
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 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director GHASSAN G. BASSIL

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