31D0109796 CLIA NUMBER - MARK REYN MD

Laboratory Demographics

  • CLIA Code: 31D0109796
  • Facility Name: MARK REYN MD
  • Facility Address: 29-11 FAIR LAWN AVE
    FAIR LAWN, NJ
    ZIP 07410
  • Facility Phone: 201 794-0940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK REYN MD
  • NPI Number: 1225064546
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0109796
LAB Type Physician Office
Facility Name MARK REYN MD
Street 29-11 FAIR LAWN AVE
City FAIR LAWN
State NJ
ZIP 07410
Phone 201 794-0940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director MARK REYN MD

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