31D1056211 CLIA NUMBER - JERSEY UROLOGY GROUP PA

Laboratory Demographics

  • CLIA Code: 31D1056211
  • Facility Name: JERSEY UROLOGY GROUP PA
  • Facility Address: 314 CHRIS GAUPP DR
    GALLOWAY TOWNSHIP, NJ
    ZIP 08205
  • Facility Phone: 609 927-8746
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. SCHUTZ
  • NPI Number: 1225193162
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D1056211
LAB Type Physician Office
Facility Name JERSEY UROLOGY GROUP PA
Street 314 CHRIS GAUPP DR
City GALLOWAY TOWNSHIP
State NJ
ZIP 08205
Phone 609 927-8746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director MICHAEL J. SCHUTZ

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