31D2009303 CLIA NUMBER - TRINITAS WIC

Laboratory Demographics

  • CLIA Code: 31D2009303
  • Facility Name: TRINITAS WIC
  • Facility Address: 200 WILLIAMSON ST MAB, SUITE 150
    ELIZABETH, NJ
    ZIP 07202
  • Facility Phone: 908 994-5847
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: ANITA OTOKITI
  • NPI Number: 1750381976
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 31D2009303
LAB Type Health Fair
Facility Name TRINITAS WIC
Street 200 WILLIAMSON ST MAB, SUITE 150
City ELIZABETH
State NJ
ZIP 07202
Phone 908 994-5847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Health Fair
Lab Director ANITA OTOKITI

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This page was last updated on: 3/20/2025