31D0939840 CLIA NUMBER - PRIMARY CARE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 31D0939840
  • Facility Name: PRIMARY CARE PHYSICIANS INC
  • Facility Address: 187 CHESTNUT STREET
    NUTLEY, NJ
    ZIP 07110
  • Facility Phone: 973 667-4402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH M. DEMAYO MD
  • NPI Number: 1942233747
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0939840
LAB Type Physician Office
Facility Name PRIMARY CARE PHYSICIANS INC
Street 187 CHESTNUT STREET
City NUTLEY
State NJ
ZIP 07110
Phone 973 667-4402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director JOSEPH M. DEMAYO MD

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