31D0917084 CLIA NUMBER - DENVILLE MEDICAL HEALTH CENTER & SPORTS REHAB

Laboratory Demographics

  • CLIA Code: 31D0917084
  • Facility Name: DENVILLE MEDICAL HEALTH CENTER & SPORTS REHAB
  • Facility Address: 161 E MAIN ST
    DENVILLE, NJ
    ZIP 07834
  • Facility Phone: 973 627-7888
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EDWARD KOSOY
  • NPI Number: 1255353090
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 31D0917084
LAB Type Practitioner Other
Facility Name DENVILLE MEDICAL HEALTH CENTER & SPORTS REHAB
Street 161 E MAIN ST
City DENVILLE
State NJ
ZIP 07834
Phone 973 627-7888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Practitioner Other
Lab Director EDWARD KOSOY

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