31D1086459 CLIA NUMBER - INTERNAL MEDICINE & GERIATRIC PRACTICE INC

Laboratory Demographics

  • CLIA Code: 31D1086459
  • Facility Name: INTERNAL MEDICINE & GERIATRIC PRACTICE INC
  • Facility Address: 1414 MAIN AVENUE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: (973) 253-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALEED S. LASHIN
  • NPI Number: 1598803264
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1086459
LAB Type Physician Office
Facility Name INTERNAL MEDICINE & GERIATRIC PRACTICE INC
Street 1414 MAIN AVENUE
City CLIFTON
State NJ
ZIP 07011
Phone 9732536000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2026
Certificate Expiration Date 7/13/2028
Facility Type Physician Office
Lab Director WALEED S. LASHIN

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This page was last updated on: 9/8/2026