31D2001757 CLIA NUMBER - NUDRAT AYUB MD, LLC

Laboratory Demographics

  • CLIA Code: 31D2001757
  • Facility Name: NUDRAT AYUB MD, LLC
  • Facility Address: 166 LYONS AVENUE, GROUND F1
    NEWARK, NJ
    ZIP 07112
  • Facility Phone: 973 926-3444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NUDRAT AYUB MD
  • NPI Number: 1609012525
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2001757
LAB Type Physician Office
Facility Name NUDRAT AYUB MD, LLC
Street 166 LYONS AVENUE, GROUND F1
City NEWARK
State NJ
ZIP 07112
Phone 973 926-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director NUDRAT AYUB MD

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