31D0115021 CLIA NUMBER - NEW JERSEY UROLOGIC INSTITUTE

Laboratory Demographics

  • CLIA Code: 31D0115021
  • Facility Name: NEW JERSEY UROLOGIC INSTITUTE
  • Facility Address: 10 INDUSTRIAL WAY E SUITE 101
    EATONTOWN, NJ
    ZIP 07724
  • Facility Phone: 732 963-9091
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ILAN WALDMAN
  • NPI Number: 1922086313
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D0115021
LAB Type Physician Office
Facility Name NEW JERSEY UROLOGIC INSTITUTE
Street 10 INDUSTRIAL WAY E SUITE 101
City EATONTOWN
State NJ
ZIP 07724
Phone 732 963-9091
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director ILAN WALDMAN

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This page was last updated on: 6/4/2025