31D0111858 CLIA NUMBER - DAVID PORTER DO

Laboratory Demographics

  • CLIA Code: 31D0111858
  • Facility Name: DAVID PORTER DO
  • Facility Address: 208 BOULEVARD
    HASBROUCK HEIGHTS, NJ
    ZIP 07604
  • Facility Phone: 201 288-0872
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID F. PORTER
  • NPI Number: 1588673180
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0111858
LAB Type Physician Office
Facility Name DAVID PORTER DO
Street 208 BOULEVARD
City HASBROUCK HEIGHTS
State NJ
ZIP 07604
Phone 201 288-0872
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 DAVID F. PORTER

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