31D0111275 CLIA NUMBER - CLAUDIO DICOVSKY MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D0111275
  • Facility Name: CLAUDIO DICOVSKY MEDICAL GROUP LLC
  • Facility Address: 681 BROADWAY
    PATERSON, NJ
    ZIP 07514
  • Facility Phone: 973 278-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARCELA I. MARANI - DICOVSKIY
  • NPI Number: 1932282845
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D0111275
LAB Type Physician Office
Facility Name CLAUDIO DICOVSKY MEDICAL GROUP LLC
Street 681 BROADWAY
City PATERSON
State NJ
ZIP 07514
Phone 973 278-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director DR. MARCELA I. MARANI - DICOVSKIY

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