31D0972189 CLIA NUMBER - ANTHONY INGUAGGIATO MD PC

Laboratory Demographics

  • CLIA Code: 31D0972189
  • Facility Name: ANTHONY INGUAGGIATO MD PC
  • Facility Address: 4302 PALISADE AVENUE
    UNION CITY, NJ
    ZIP 07087
  • Facility Phone: 201 863-5673
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. INGUAGGIATO
  • NPI Number: 1336219948
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0972189
LAB Type Physician Office
Facility Name ANTHONY INGUAGGIATO MD PC
Street 4302 PALISADE AVENUE
City UNION CITY
State NJ
ZIP 07087
Phone 201 863-5673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director ANTHONY J. INGUAGGIATO

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