31D1011922 CLIA NUMBER - VITALY FISHBEIN MD

Laboratory Demographics

  • CLIA Code: 31D1011922
  • Facility Name: VITALY FISHBEIN MD
  • Facility Address: 401 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Facility Phone: 973 736-1112
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: VITALY FISHBEIN
  • NPI Number: 1467410381
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D1011922
LAB Type Physician Office
Facility Name VITALY FISHBEIN MD
Street 401 PLEASANT VALLEY WAY
City WEST ORANGE
State NJ
ZIP 07052
Phone 973 736-1112
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director VITALY FISHBEIN

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