31D1103066 CLIA NUMBER - AVINASH C GUPTA MD FACC

Laboratory Demographics

  • CLIA Code: 31D1103066
  • Facility Name: AVINASH C GUPTA MD FACC
  • Facility Address: 637 RIVER AVENUE
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 886-9101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AVINASH C. GUPTA MD
  • NPI Number: 1265531487
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1103066
LAB Type Physician Office
Facility Name AVINASH C GUPTA MD FACC
Street 637 RIVER AVENUE
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 886-9101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director AVINASH C. GUPTA MD

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