31D0110518 CLIA NUMBER - ADVOCARE RIDGEWOOD MEDICAL

Laboratory Demographics

  • CLIA Code: 31D0110518
  • Facility Name: ADVOCARE RIDGEWOOD MEDICAL
  • Facility Address: 127 UNION STREET SUITE 108
    RIDGEWOOD, NJ
    ZIP 07450
  • Facility Phone: (201) 670-1231
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REEM JABER-IQBAL
  • NPI Number: 1598538217
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0110518
LAB Type Physician Office
Facility Name ADVOCARE RIDGEWOOD MEDICAL
Street 127 UNION STREET SUITE 108
City RIDGEWOOD
State NJ
ZIP 07450
Phone 2016701231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director REEM JABER-IQBAL

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This page was last updated on: 5/18/2026