31D0858684 CLIA NUMBER - BLOOMFIELD HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 31D0858684
  • Facility Name: BLOOMFIELD HEALTH DEPARTMENT
  • Facility Address: MUNICIPAL PLAZA LOWER LEVEL
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 680-4058
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL BASISTA
  • NPI Number: 1376090423
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 31D0858684
LAB Type Other
Facility Name BLOOMFIELD HEALTH DEPARTMENT
Street MUNICIPAL PLAZA LOWER LEVEL
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 680-4058
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 Other
Lab Director DR. MICHAEL BASISTA

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