31D1017290 CLIA NUMBER - UNIVERSITY RADIOLOGY AT TRINITAS

Laboratory Demographics

  • CLIA Code: 31D1017290
  • Facility Name: UNIVERSITY RADIOLOGY AT TRINITAS
  • Facility Address: 415 MORRIS AVENUE
    ELIZABETH, NJ
    ZIP 07208
  • Facility Phone: 908 351-7600
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: HEIDI FISH
  • NPI Number: 1366526279
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1017290
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UNIVERSITY RADIOLOGY AT TRINITAS
Street 415 MORRIS AVENUE
City ELIZABETH
State NJ
ZIP 07208
Phone 908 351-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2023
Certificate Expiration Date 9/21/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director HEIDI FISH

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This page was last updated on: 3/20/2025