31D0983226 CLIA NUMBER - CARLOS SACRISTAN MD LLC

Laboratory Demographics

  • CLIA Code: 31D0983226
  • Facility Name: CARLOS SACRISTAN MD LLC
  • Facility Address: 17-19 HOWE AVENUE
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: 973 473-4399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS SACRISTAN MD
  • NPI Number: 1811971229
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 31D0983226
LAB Type Physician Office
Facility Name CARLOS SACRISTAN MD LLC
Street 17-19 HOWE AVENUE
City PASSAIC
State NJ
ZIP 07055
Phone 973 473-4399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director CARLOS SACRISTAN MD

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