31D1059541 CLIA NUMBER - IRONBOUND MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 31D1059541
  • Facility Name: IRONBOUND MEDICAL SERVICES LLC
  • Facility Address: 221 CHESTNUT STREET
    NEWARK, NJ
    ZIP 07105
  • Facility Phone: (973) 878-3990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. MUSTILLO
  • NPI Number: 1346407715
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1059541
LAB Type Physician Office
Facility Name IRONBOUND MEDICAL SERVICES LLC
Street 221 CHESTNUT STREET
City NEWARK
State NJ
ZIP 07105
Phone 9738783990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director ROBERT A. MUSTILLO

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This page was last updated on: 5/18/2026