31D0964010 CLIA NUMBER - FOREST HILL MEDICAL ARTS

Laboratory Demographics

  • CLIA Code: 31D0964010
  • Facility Name: FOREST HILL MEDICAL ARTS
  • Facility Address: 467 MOUNT PROSPECT AVENUE
    NEWARK, NJ
    ZIP 07104
  • Facility Phone: 973 483-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS R. ORTIZ
  • NPI Number: 1083102602
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0964010
LAB Type Physician Office
Facility Name FOREST HILL MEDICAL ARTS
Street 467 MOUNT PROSPECT AVENUE
City NEWARK
State NJ
ZIP 07104
Phone 973 483-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director THOMAS R. ORTIZ

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