31D0888105 CLIA NUMBER - ERIC B T CHAN MD INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D0888105
  • Facility Name: ERIC B T CHAN MD INTERNAL MEDICINE
  • Facility Address: 9 JODI LANE
    CHATHAM, NJ
    ZIP 07928
  • Facility Phone: 908 464-4343
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERIC B T CHAN
  • NPI Number: 1437202017
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0888105
LAB Type Physician Office
Facility Name ERIC B T CHAN MD INTERNAL MEDICINE
Street 9 JODI LANE
City CHATHAM
State NJ
ZIP 07928
Phone 908 464-4343
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director ERIC B T CHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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