31D1036077 CLIA NUMBER - EDGAR R MEJIA MD

Laboratory Demographics

  • CLIA Code: 31D1036077
  • Facility Name: EDGAR R MEJIA MD
  • Facility Address: 760 MARKET ST
    PATERSON, NJ
    ZIP 07513
  • Facility Phone: 973 523-8083
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGAR R. MEJIA MD
  • NPI Number: 1780645374
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1036077
LAB Type Physician Office
Facility Name EDGAR R MEJIA MD
Street 760 MARKET ST
City PATERSON
State NJ
ZIP 07513
Phone 973 523-8083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director EDGAR R. MEJIA MD

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