31D0881344 CLIA NUMBER - JOSEPH P CASSOTTA MD

Laboratory Demographics

  • CLIA Code: 31D0881344
  • Facility Name: JOSEPH P CASSOTTA MD
  • Facility Address: 1600 CENTER AVE
    FORT LEE, NJ
    ZIP 07024
  • Facility Phone: 201 585-7511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH P. CASSOTTA MD
  • NPI Number: 1093870776
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0881344
LAB Type Physician Office
Facility Name JOSEPH P CASSOTTA MD
Street 1600 CENTER AVE
City FORT LEE
State NJ
ZIP 07024
Phone 201 585-7511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director JOSEPH P. CASSOTTA MD

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