31D0713312 CLIA NUMBER - JOSEPH V DITROLIO MD

Laboratory Demographics

  • CLIA Code: 31D0713312
  • Facility Name: JOSEPH V DITROLIO MD
  • Facility Address: 556 EAGLE ROCK AVENUE SUITE 204
    ROSELAND, NJ
    ZIP 07068
  • Facility Phone: 201 228-2771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH V. DITROLIO
  • NPI Number: 1295767804
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D0713312
LAB Type Physician Office
Facility Name JOSEPH V DITROLIO MD
Street 556 EAGLE ROCK AVENUE SUITE 204
City ROSELAND
State NJ
ZIP 07068
Phone 201 228-2771
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 JOSEPH V. DITROLIO

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