31D0689411 CLIA NUMBER - SAMUEL HS THE MD

Laboratory Demographics

  • CLIA Code: 31D0689411
  • Facility Name: SAMUEL HS THE MD
  • Facility Address: 130 ORIENT WAY
    RUTHERFORD, NJ
    ZIP 07070
  • Facility Phone: (201) 438-6916
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL H. THE
  • NPI Number: 1588637292
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0689411
LAB Type Physician Office
Facility Name SAMUEL HS THE MD
Street 130 ORIENT WAY
City RUTHERFORD
State NJ
ZIP 07070
Phone 2014386916
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: 5/18/2026