31D0112987 CLIA NUMBER - JOSEPH C SCHUSTER MD

Laboratory Demographics

CLIA Number: 31D0112987

Facility Name: JOSEPH C SCHUSTER MD

Facility Address:
175 CEDAR LN
TEANECK, NJ
ZIP 07666
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Facility Phone Number:

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568632917

Taxonomy: 247ZC0005X - Pathology
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

CLIA Record

Field Name	Field Value
CLIA Number	31D0112987
LAB Type	Physician Office
Facility Name	JOSEPH C SCHUSTER MD
Street	175 CEDAR LN
City	TEANECK
State	NJ
ZIP	07666
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024