31D1106798 CLIA NUMBER - ANN WRY MD LLC

Laboratory Demographics

  • CLIA Code: 31D1106798
  • Facility Name: ANN WRY MD LLC
  • Facility Address: 114 ESSEX STREET, 2ND FLOOR
    ROCHELLE PARK, NJ
    ZIP 07662
  • Facility Phone: 201 368-0201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANN M. WRY MD
  • NPI Number: 1013964204
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1106798
LAB Type Physician Office
Facility Name ANN WRY MD LLC
Street 114 ESSEX STREET, 2ND FLOOR
City ROCHELLE PARK
State NJ
ZIP 07662
Phone 201 368-0201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Physician Office
Lab Director ANN M. WRY MD

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