31D0112450 CLIA NUMBER - RICHARD TANCER DO

Laboratory Demographics

  • CLIA Code: 31D0112450
  • Facility Name: RICHARD TANCER DO
  • Facility Address: 18 REDNECK AVE
    LITTLE FERRY, NJ
    ZIP 07643
  • Facility Phone: 201 641-3115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD B. TANCER
  • NPI Number: 1588677629
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0112450
LAB Type Physician Office
Facility Name RICHARD TANCER DO
Street 18 REDNECK AVE
City LITTLE FERRY
State NJ
ZIP 07643
Phone 201 641-3115
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 RICHARD B. TANCER

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