31D2004050 CLIA NUMBER - NEW JERSEY PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 31D2004050
  • Facility Name: NEW JERSEY PLASTIC SURGERY
  • Facility Address: 29 PARK STREET
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 509-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY E. DIBERNARDO MD
  • NPI Number: 1073284675
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D2004050
LAB Type Physician Office
Facility Name NEW JERSEY PLASTIC SURGERY
Street 29 PARK STREET
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 509-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director BARRY E. DIBERNARDO MD

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