31D1000001 CLIA NUMBER - PATRICK J DE MARE DO PA

Laboratory Demographics

  • CLIA Code: 31D1000001
  • Facility Name: PATRICK J DE MARE DO PA
  • Facility Address: 61 BEAVER BROOK ROAD SUITE 101
    LINCOLN PARK, NJ
    ZIP 07035
  • Facility Phone: 973 696-1082
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK J. DE MARE
  • NPI Number: 1245308402
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1000001
LAB Type Physician Office
Facility Name PATRICK J DE MARE DO PA
Street 61 BEAVER BROOK ROAD SUITE 101
City LINCOLN PARK
State NJ
ZIP 07035
Phone 973 696-1082
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director PATRICK J. DE MARE

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