31D1075874 CLIA NUMBER - GREGORY HEIFLER MD PA

Laboratory Demographics

  • CLIA Code: 31D1075874
  • Facility Name: GREGORY HEIFLER MD PA
  • Facility Address: 103 PARK STREET BLDG B
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 783-4117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIFLER GREGORY MD
  • NPI Number: 1902998685
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1075874
LAB Type Physician Office
Facility Name GREGORY HEIFLER MD PA
Street 103 PARK STREET BLDG B
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 783-4117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director HEIFLER GREGORY MD

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