31D0701942 CLIA NUMBER - INTERNAL MEDICINE-JACK BERDY MD

Laboratory Demographics

  • CLIA Code: 31D0701942
  • Facility Name: INTERNAL MEDICINE-JACK BERDY MD
  • Facility Address: 155 CEDAR LANE
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 836-4248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD S. UMER MD
  • NPI Number: 1023064052
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0701942
LAB Type Physician Office
Facility Name INTERNAL MEDICINE-JACK BERDY MD
Street 155 CEDAR LANE
City TEANECK
State NJ
ZIP 07666
Phone 201 836-4248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director MUHAMMAD S. UMER MD

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