31D0863376 CLIA NUMBER - ESTELLA TERWES MD

Laboratory Demographics

  • CLIA Code: 31D0863376
  • Facility Name: ESTELLA TERWES MD
  • Facility Address: 906 SUMMIT AVENUE GROUND FLOOR
    JERSEY CITY, NJ
    ZIP 07307
  • Facility Phone: (201) 653-0330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESTELLA TERWES MD
  • NPI Number: 1104831551
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 31D0863376
LAB Type Physician Office
Facility Name ESTELLA TERWES MD
Street 906 SUMMIT AVENUE GROUND FLOOR
City JERSEY CITY
State NJ
ZIP 07307
Phone 2016530330
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 ESTELLA TERWES MD

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This page was last updated on: 5/18/2026