31D0941379 CLIA NUMBER - NEW JERSEY UROLOGY, LLC

Laboratory Demographics

CLIA Number: 31D0941379

Facility Name: NEW JERSEY UROLOGY, LLC

Facility Address:
616 WILLOW GROVE STREET
HACKETTSTOWN, NJ
ZIP 07840
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Facility Phone Number: 973 726-7220

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1396173324

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	31D0941379
LAB Type	Physician Office
Facility Name	NEW JERSEY UROLOGY, LLC
Street	616 WILLOW GROVE STREET
City	HACKETTSTOWN
State	NJ
ZIP	07840
Phone	973 726-7220
CertificateType	3
CertificateEffectiveDate	2/24/2024
CertificateExpirationDate	2/23/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024