31D2016372 CLIA NUMBER - GERIATRICS AND INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D2016372
  • Facility Name: GERIATRICS AND INTERNAL MEDICINE
  • Facility Address: 43 NORTH GILBERT STREET 2ND FLOOR SUITE 5
    TINTON FALLS, NJ
    ZIP 07701
  • Facility Phone: 732 988-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANA D. VLADU
  • NPI Number: 1477888600
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2016372
LAB Type Physician Office
Facility Name GERIATRICS AND INTERNAL MEDICINE
Street 43 NORTH GILBERT STREET 2ND FLOOR SUITE 5
City TINTON FALLS
State NJ
ZIP 07701
Phone 732 988-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director ANA D. VLADU

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This page was last updated on: 6/4/2025