31D0939795 CLIA NUMBER - SUBURBAN NEPHROLOGY GROUP PA

Laboratory Demographics

  • CLIA Code: 31D0939795
  • Facility Name: SUBURBAN NEPHROLOGY GROUP PA
  • Facility Address: 342 HAMBURG TURNPIKE SUITE 201
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 398-1119
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEVIN E. VITTING MD
  • NPI Number: 1972614022
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0939795
LAB Type Physician Office
Facility Name SUBURBAN NEPHROLOGY GROUP PA
Street 342 HAMBURG TURNPIKE SUITE 201
City WAYNE
State NJ
ZIP 07470
Phone 973 398-1119
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director KEVIN E. VITTING MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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