31D0706830 CLIA NUMBER - UNION SQUARE MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 31D0706830
  • Facility Name: UNION SQUARE MEDICAL ASSOCIATES PC
  • Facility Address: 824 ELIZABETH AVE
    ELIZABETH, NJ
    ZIP 07201
  • Facility Phone: 908 352-9556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES PEREZ MD
  • NPI Number: 1790826287
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0706830
LAB Type Physician Office
Facility Name UNION SQUARE MEDICAL ASSOCIATES PC
Street 824 ELIZABETH AVE
City ELIZABETH
State NJ
ZIP 07201
Phone 908 352-9556
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 JAMES PEREZ MD

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