31D1096817 CLIA NUMBER - CLARK DERMATOLOGY DBA METROPOLITAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 31D1096817
  • Facility Name: CLARK DERMATOLOGY DBA METROPOLITAN DERMATOLOGY
  • Facility Address: 1075 CENTRAL AVENUE
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 732 574-1399
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALEXANDER DOCTOROFF
  • NPI Number: 1417316274
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D1096817
LAB Type Physician Office
Facility Name CLARK DERMATOLOGY DBA METROPOLITAN DERMATOLOGY
Street 1075 CENTRAL AVENUE
City CLARK
State NJ
ZIP 07066
Phone 732 574-1399
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director ALEXANDER DOCTOROFF

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