31D0708598 CLIA NUMBER - PATTNER & GRODSTEIN MD PA

Laboratory Demographics

  • CLIA Code: 31D0708598
  • Facility Name: PATTNER & GRODSTEIN MD PA
  • Facility Address: 177 NORTH DEAN ST SUITE 207
    ENGLEWOOD, NJ
    ZIP 07631
  • Facility Phone: 201 567-0446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUSTIN M. PATTNER
  • NPI Number: 1932112950
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0708598
LAB Type Physician Office
Facility Name PATTNER & GRODSTEIN MD PA
Street 177 NORTH DEAN ST SUITE 207
City ENGLEWOOD
State NJ
ZIP 07631
Phone 201 567-0446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director AUSTIN M. PATTNER

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