31D0995311 CLIA NUMBER - ADVANCED CARDIOLOGY LLC

Laboratory Demographics

  • CLIA Code: 31D0995311
  • Facility Name: ADVANCED CARDIOLOGY LLC
  • Facility Address: 65 RIDGEDALE AVENUE
    CEDAR KNOLLS, NJ
    ZIP 07927
  • Facility Phone: 973 401-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES J. MAROTTA MD
  • NPI Number: 1295871796
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0995311
LAB Type Physician Office
Facility Name ADVANCED CARDIOLOGY LLC
Street 65 RIDGEDALE AVENUE
City CEDAR KNOLLS
State NJ
ZIP 07927
Phone 973 401-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director CHARLES J. MAROTTA MD

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