31D0938900 CLIA NUMBER - SIRIKE T AASMAA DO

Laboratory Demographics

  • CLIA Code: 31D0938900
  • Facility Name: SIRIKE T AASMAA DO
  • Facility Address: 170 CHANGEBRIDGE ROAD D1
    MONTVILLE, NJ
    ZIP 07045
  • Facility Phone: 973 575-5150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIRIKE T. AASMAA DO
  • NPI Number: 1861549925
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0938900
LAB Type Physician Office
Facility Name SIRIKE T AASMAA DO
Street 170 CHANGEBRIDGE ROAD D1
City MONTVILLE
State NJ
ZIP 07045
Phone 973 575-5150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director SIRIKE T. AASMAA DO

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This page was last updated on: 3/20/2025