31D0981332 CLIA NUMBER - SANDHYA GUMASTE MD INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D0981332
  • Facility Name: SANDHYA GUMASTE MD INTERNAL MEDICINE
  • Facility Address: 185 CEDAR LANE U-8
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 836-6441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA V. GUMASTE MD
  • NPI Number: 1811943418
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0981332
LAB Type Physician Office
Facility Name SANDHYA GUMASTE MD INTERNAL MEDICINE
Street 185 CEDAR LANE U-8
City TEANECK
State NJ
ZIP 07666
Phone 201 836-6441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director SANDHYA V. GUMASTE MD

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