31D0111375 CLIA NUMBER - ALEXANDER MAZZIOTTI MD

Laboratory Demographics

  • CLIA Code: 31D0111375
  • Facility Name: ALEXANDER MAZZIOTTI MD
  • Facility Address: 268 LINCOLN AVE
    HAWTHORNE, NJ
    ZIP 07506
  • Facility Phone: 973 423-3335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MAZZIOTTI
  • NPI Number: 1902996283
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0111375
LAB Type Physician Office
Facility Name ALEXANDER MAZZIOTTI MD
Street 268 LINCOLN AVE
City HAWTHORNE
State NJ
ZIP 07506
Phone 973 423-3335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALEXANDER MAZZIOTTI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025