31D1091092 CLIA NUMBER - PRUDENTMD LLC

Laboratory Demographics

  • CLIA Code: 31D1091092
  • Facility Name: PRUDENTMD LLC
  • Facility Address: 5 DUNDEE AVE
    ISELIN, NJ
    ZIP 08830
  • Facility Phone: 732 404-0044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAITRI PATEL MD
  • NPI Number: 1457524217
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1091092
LAB Type Physician Office
Facility Name PRUDENTMD LLC
Street 5 DUNDEE AVE
City ISELIN
State NJ
ZIP 08830
Phone 732 404-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director MAITRI PATEL MD

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