31D0112742 CLIA NUMBER - SAMUEL HS THE MD, PA

Laboratory Demographics

  • CLIA Code: 31D0112742
  • Facility Name: SAMUEL HS THE MD, PA
  • Facility Address: 33 N CENTURY RD
    PARAMUS, NJ
    ZIP 07652
  • Facility Phone: 201 343-6916
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL H. THE
  • NPI Number: 1134679525
  • Taxonomy: 207RS0012X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0112742
LAB Type Physician Office
Facility Name SAMUEL HS THE MD, PA
Street 33 N CENTURY RD
City PARAMUS
State NJ
ZIP 07652
Phone 201 343-6916
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 SAMUEL H. THE

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