31D0888828 CLIA NUMBER - SRI MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D0888828
  • Facility Name: SRI MEDICAL CENTER
  • Facility Address: 2115 MILLBURN AVE
    MAPLEWOOD, NJ
    ZIP 07040
  • Facility Phone: (201) 926-7472
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAILENDER K. MOHANRAO
  • NPI Number: 1124594809
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0888828
LAB Type Physician Office
Facility Name SRI MEDICAL CENTER
Street 2115 MILLBURN AVE
City MAPLEWOOD
State NJ
ZIP 07040
Phone 2019267472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director SHAILENDER K. MOHANRAO

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