31D1051358 CLIA NUMBER - ELIZABETH OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 31D1051358
  • Facility Name: ELIZABETH OUTPATIENT CLINIC
  • Facility Address: 654 EAST JERSEY ST
    ELIZABETH, NJ
    ZIP 07201
  • Facility Phone: 973 676-1000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: CYNTHIA BOWMAN
  • NPI Number: 1316432081
  • Taxonomy: 2279C0205X - Respiratory Therapist, Registered

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CLIA Record

Field Name Field Value
CLIA Number 31D1051358
LAB Type Community Clinic
Facility Name ELIZABETH OUTPATIENT CLINIC
Street 654 EAST JERSEY ST
City ELIZABETH
State NJ
ZIP 07201
Phone 973 676-1000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/1/2006
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director CYNTHIA BOWMAN

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