31D2008972 CLIA NUMBER - HOLMDEL IMAGING, LLC

Laboratory Demographics

  • CLIA Code: 31D2008972
  • Facility Name: HOLMDEL IMAGING, LLC
  • Facility Address: 100 COMMONS WAY SUITE 110
    HOLMDEL, NJ
    ZIP 07733
  • Facility Phone: 732 671-6618
  • Facility Type: Other - OUTPT IMAGING FACILITY
  • Facility Type: Waiver
  • Lab Director: FREDRICK ZITO
  • NPI Number: 1629027339
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2008972
LAB Type Other - OUTPT IMAGING FACILITY
Facility Name HOLMDEL IMAGING, LLC
Street 100 COMMONS WAY SUITE 110
City HOLMDEL
State NJ
ZIP 07733
Phone 732 671-6618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Other - OUTPT IMAGING FACILITY
Lab Director FREDRICK ZITO

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