31D0862188 CLIA NUMBER - EDWARD M KILLILEA MD

Laboratory Demographics

  • CLIA Code: 31D0862188
  • Facility Name: EDWARD M KILLILEA MD
  • Facility Address: 111 GRAND PLACE
    KEARNY, NJ
    ZIP 07032
  • Facility Phone: 201 998-2142
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD M. KILLILEA
  • NPI Number: 1982654406
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0862188
LAB Type Physician Office
Facility Name EDWARD M KILLILEA MD
Street 111 GRAND PLACE
City KEARNY
State NJ
ZIP 07032
Phone 201 998-2142
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 EDWARD M. KILLILEA

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