31D0967359 CLIA NUMBER - ANTONIOS TSOMPANIDIS DO PC

Laboratory Demographics

  • CLIA Code: 31D0967359
  • Facility Name: ANTONIOS TSOMPANIDIS DO PC
  • Facility Address: 1 BETHANY ROAD SUITE 79
    HAZLET, NJ
    ZIP 07730
  • Facility Phone: 732 203-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIOS TSOMPANIDIS DO
  • NPI Number: 1679646608
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0967359
LAB Type Physician Office
Facility Name ANTONIOS TSOMPANIDIS DO PC
Street 1 BETHANY ROAD SUITE 79
City HAZLET
State NJ
ZIP 07730
Phone 732 203-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director ANTONIOS TSOMPANIDIS DO

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