31D1006880 CLIA NUMBER - DC MEDICAL CARE LLC

Laboratory Demographics

  • CLIA Code: 31D1006880
  • Facility Name: DC MEDICAL CARE LLC
  • Facility Address: 266 HARRISTOWN ROAD
    GLEN ROCK, NJ
    ZIP 07452
  • Facility Phone: 201 475-4091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA CERNEA
  • NPI Number: 1790019206
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1006880
LAB Type Physician Office
Facility Name DC MEDICAL CARE LLC
Street 266 HARRISTOWN ROAD
City GLEN ROCK
State NJ
ZIP 07452
Phone 201 475-4091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director DANA CERNEA

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