31D1047860 CLIA NUMBER - ANDREAS D ROTSIDES, MD LLC

Laboratory Demographics

  • CLIA Code: 31D1047860
  • Facility Name: ANDREAS D ROTSIDES, MD LLC
  • Facility Address: 195 US HIGHWAY 46 SUITE 200
    MINE HILL, NJ
    ZIP 07803
  • Facility Phone: 973 328-1040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREAS D. ROTSIDES
  • NPI Number: 1295799153
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1047860
LAB Type Physician Office
Facility Name ANDREAS D ROTSIDES, MD LLC
Street 195 US HIGHWAY 46 SUITE 200
City MINE HILL
State NJ
ZIP 07803
Phone 973 328-1040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director ANDREAS D. ROTSIDES

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