31D0110154 CLIA NUMBER - UROLOGY GROUP, PA

Laboratory Demographics

  • CLIA Code: 31D0110154
  • Facility Name: UROLOGY GROUP, PA
  • Facility Address: 4 GODWIN AVENUE
    MIDLAND PARK, NJ
    ZIP 07432
  • Facility Phone: 201 444-7070
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMJAD KHAN
  • NPI Number: 1427012897
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D0110154
LAB Type Physician Office
Facility Name UROLOGY GROUP, PA
Street 4 GODWIN AVENUE
City MIDLAND PARK
State NJ
ZIP 07432
Phone 201 444-7070
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director AMJAD KHAN

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