31D0861278 CLIA NUMBER - ANNA M KORKIS MD PA

Laboratory Demographics

  • CLIA Code: 31D0861278
  • Facility Name: ANNA M KORKIS MD PA
  • Facility Address: 200 SOUTH BROAD STREET
    RIDGEWOOD, NJ
    ZIP 07450
  • Facility Phone: 201 444-0009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA M. KORKIS
  • NPI Number: 1912014887
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0861278
LAB Type Physician Office
Facility Name ANNA M KORKIS MD PA
Street 200 SOUTH BROAD STREET
City RIDGEWOOD
State NJ
ZIP 07450
Phone 201 444-0009
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 ANNA M. KORKIS

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