31D1083500 CLIA NUMBER - OCEAN HEART INC DBA PRIME HEART, INC

Laboratory Demographics

  • CLIA Code: 31D1083500
  • Facility Name: OCEAN HEART INC DBA PRIME HEART, INC
  • Facility Address: 2010 SPRINGFIELD AVE
    MAPLEWOOD, NJ
    ZIP 07040
  • Facility Phone: 973 275-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNIL M. PATEL
  • NPI Number: 1295756641
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1083500
LAB Type Physician Office
Facility Name OCEAN HEART INC DBA PRIME HEART, INC
Street 2010 SPRINGFIELD AVE
City MAPLEWOOD
State NJ
ZIP 07040
Phone 973 275-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director SUNIL M. PATEL

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