31D0919526 CLIA NUMBER - IFEOMA N IWELUMO MD PA

Laboratory Demographics

  • CLIA Code: 31D0919526
  • Facility Name: IFEOMA N IWELUMO MD PA
  • Facility Address: 266 LAKEVIEW AVENUE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 973 340-1222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IFEOMA N. IWELUMO MD
  • NPI Number: 1205897865
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0919526
LAB Type Physician Office
Facility Name IFEOMA N IWELUMO MD PA
Street 266 LAKEVIEW AVENUE
City CLIFTON
State NJ
ZIP 07011
Phone 973 340-1222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director IFEOMA N. IWELUMO MD

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