31D0864650 CLIA NUMBER - DUANE G SOSSONG DO

Laboratory Demographics

  • CLIA Code: 31D0864650
  • Facility Name: DUANE G SOSSONG DO
  • Facility Address: 121 CENTER GROVE ROAD, SUITE 17
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 201 366-1789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUANE G. SOSSONG DO
  • NPI Number: 1720021488
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0864650
LAB Type Physician Office
Facility Name DUANE G SOSSONG DO
Street 121 CENTER GROVE ROAD, SUITE 17
City RANDOLPH
State NJ
ZIP 07869
Phone 201 366-1789
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 DUANE G. SOSSONG DO

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