31D0673797 CLIA NUMBER - JOHN V KELLY MD PC

Laboratory Demographics

  • CLIA Code: 31D0673797
  • Facility Name: JOHN V KELLY MD PC
  • Facility Address: 382 WEST PASSAIC AVE
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 338-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN V. KELLY
  • NPI Number: 1265540686
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0673797
LAB Type Physician Office
Facility Name JOHN V KELLY MD PC
Street 382 WEST PASSAIC AVE
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 338-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director JOHN V. KELLY

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