31D0993479 CLIA NUMBER - ALLAM MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D0993479
  • Facility Name: ALLAM MEDICAL GROUP LLC
  • Facility Address: 73 PARK STREET
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: (973) 746-0595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REDDY B. ALLAM
  • NPI Number: 1972994077
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0993479
LAB Type Physician Office
Facility Name ALLAM MEDICAL GROUP LLC
Street 73 PARK STREET
City MONTCLAIR
State NJ
ZIP 07042
Phone 9737460595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2026
Certificate Expiration Date 2/16/2028
Facility Type Physician Office
Lab Director REDDY B. ALLAM

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This page was last updated on: 5/18/2026