31D1090503 CLIA NUMBER - ICON PATHOLOGY LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 31D1090503
  • Facility Name: ICON PATHOLOGY LABORATORY LLC
  • Facility Address: 145 TALMADGE ROAD, SUITE 17
    EDISON, NJ
    ZIP 08817
  • Facility Phone: 732 662-7732
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JING-JING YANG
  • NPI Number: 1922258722
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D1090503
LAB Type Independent
Facility Name ICON PATHOLOGY LABORATORY LLC
Street 145 TALMADGE ROAD, SUITE 17
City EDISON
State NJ
ZIP 08817
Phone 732 662-7732
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Independent
Lab Director DR. JING-JING YANG

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