31D0876075 CLIA NUMBER - NEW JERSEY UROLOGY, LLC

Laboratory Demographics

  • CLIA Code: 31D0876075
  • Facility Name: NEW JERSEY UROLOGY, LLC
  • Facility Address: 311 BAY AVENUE, SUITE 200
    GLEN RIDGE, NJ
    ZIP 07028
  • Facility Phone: 973 429-0462
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY WILLIAMS
  • NPI Number: 1710269980
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D0876075
LAB Type Physician Office
Facility Name NEW JERSEY UROLOGY, LLC
Street 311 BAY AVENUE, SUITE 200
City GLEN RIDGE
State NJ
ZIP 07028
Phone 973 429-0462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director JEFFREY WILLIAMS

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