31D1100305 CLIA NUMBER - LABORATORY MEDICINE DIAGNOSTICS, LLC

Laboratory Demographics

  • CLIA Code: 31D1100305
  • Facility Name: LABORATORY MEDICINE DIAGNOSTICS, LLC
  • Facility Address: 82 NEWARK-POMPTON TPKE, 2ND FL, SUITE 1
    RIVERDALE, NJ
    ZIP 07457
  • Facility Phone: 347 879-9494
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN GREENE
  • NPI Number: 1649811589
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D1100305
LAB Type Independent
Facility Name LABORATORY MEDICINE DIAGNOSTICS, LLC
Street 82 NEWARK-POMPTON TPKE, 2ND FL, SUITE 1
City RIVERDALE
State NJ
ZIP 07457
Phone 347 879-9494
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 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Independent
Lab Director DR. JOHN GREENE

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