31D1066523 CLIA NUMBER - FREDERICK M HEITZER MD LLC

Laboratory Demographics

  • CLIA Code: 31D1066523
  • Facility Name: FREDERICK M HEITZER MD LLC
  • Facility Address: 55 SCHANK ROAD SUITE A-12 PINHO PROFESSIONAL CENTER
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 577-5525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FREDERICK M. HEITZER MD
  • NPI Number: 1740309517
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 31D1066523
LAB Type Physician Office
Facility Name FREDERICK M HEITZER MD LLC
Street 55 SCHANK ROAD SUITE A-12 PINHO PROFESSIONAL CENTER
City FREEHOLD
State NJ
ZIP 07728
Phone 732 577-5525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director FREDERICK M. HEITZER MD

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