31D1042164 CLIA NUMBER - ALEXANDER GUDZ LLC

Laboratory Demographics

  • CLIA Code: 31D1042164
  • Facility Name: ALEXANDER GUDZ LLC
  • Facility Address: 62 MAIN AVENUE
    WALLINGTON, NJ
    ZIP 07057
  • Facility Phone: 973 986-5576
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXANDER GUDZ
  • NPI Number: 1609124890
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D1042164
LAB Type Physician Office
Facility Name ALEXANDER GUDZ LLC
Street 62 MAIN AVENUE
City WALLINGTON
State NJ
ZIP 07057
Phone 973 986-5576
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 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director ALEXANDER GUDZ

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