31D0994093 CLIA NUMBER - VITA-MED FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 31D0994093
  • Facility Name: VITA-MED FAMILY PRACTICE
  • Facility Address: 3000 KENNEDY BOULEVARD, SUITE 308
    JERSEY CITY, NJ
    ZIP 07306
  • Facility Phone: (201) 963-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TADEUSZ J. MAJCHRZAK
  • NPI Number: 1962575167
  • Taxonomy: 207QA0000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0994093
LAB Type Physician Office
Facility Name VITA-MED FAMILY PRACTICE
Street 3000 KENNEDY BOULEVARD, SUITE 308
City JERSEY CITY
State NJ
ZIP 07306
Phone 2019630800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2025
Certificate Expiration Date 12/3/2027
Facility Type Physician Office
Lab Director TADEUSZ J. MAJCHRZAK

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