31D0715819 CLIA NUMBER - MADHAVI N MANIAR

Laboratory Demographics

  • CLIA Code: 31D0715819
  • Facility Name: MADHAVI N MANIAR
  • Facility Address: 90 WASHINGTON STREET
    EAST ORANGE, NJ
    ZIP 07017
  • Facility Phone:
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHAVI M. MANIAR
  • NPI Number: 1356490056
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0715819
LAB Type Physician Office
Facility Name MADHAVI N MANIAR
Street 90 WASHINGTON STREET
City EAST ORANGE
State NJ
ZIP 07017
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 MADHAVI M. MANIAR

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