31D0922609 CLIA NUMBER - RIDGEWOOD ORTHOPEDIC GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D0922609
  • Facility Name: RIDGEWOOD ORTHOPEDIC GROUP LLC
  • Facility Address: 85 SOUTH MAPLE AVE
    RIDGEWOOD, NJ
    ZIP 07450
  • Facility Phone: 201 445-2830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. DELFICO
  • NPI Number: 1609815067
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0922609
LAB Type Physician Office
Facility Name RIDGEWOOD ORTHOPEDIC GROUP LLC
Street 85 SOUTH MAPLE AVE
City RIDGEWOOD
State NJ
ZIP 07450
Phone 201 445-2830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director ANTHONY J. DELFICO

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