31D1107711 CLIA NUMBER - INTERNAL MEDICINE PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 31D1107711
  • Facility Name: INTERNAL MEDICINE PRACTICE, LLC
  • Facility Address: 312 BELLEVILLE TPK, SUITE 1-C
    NORTH ARLINGTON, NJ
    ZIP 07031
  • Facility Phone: (201) 997-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BITNER W. BOZENA MD
  • NPI Number: 1912234006
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1107711
LAB Type Physician Office
Facility Name INTERNAL MEDICINE PRACTICE, LLC
Street 312 BELLEVILLE TPK, SUITE 1-C
City NORTH ARLINGTON
State NJ
ZIP 07031
Phone 2019974040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2025
Certificate Expiration Date 11/11/2027
Facility Type Physician Office
Lab Director BITNER W. BOZENA MD

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This page was last updated on: 5/18/2026