31D1093543 CLIA NUMBER - JOSEPH M WILDMAN, MD

Laboratory Demographics

  • CLIA Code: 31D1093543
  • Facility Name: JOSEPH M WILDMAN, MD
  • Facility Address: 65 E NORTHFIELD ROAD, SUITE A
    LIVINGSTON, NJ
    ZIP 07039
  • Facility Phone: 973 422-0023
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH M. WILDMAN MD
  • NPI Number: 1114995941
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1093543
LAB Type Physician Office
Facility Name JOSEPH M WILDMAN, MD
Street 65 E NORTHFIELD ROAD, SUITE A
City LIVINGSTON
State NJ
ZIP 07039
Phone 973 422-0023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director JOSEPH M. WILDMAN MD

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This page was last updated on: 3/20/2025