31D2017376 CLIA NUMBER - INDU MADHOK MD LLC

Laboratory Demographics

  • CLIA Code: 31D2017376
  • Facility Name: INDU MADHOK MD LLC
  • Facility Address: 156 ROSEVILLE AVENUE
    NEWARK, NJ
    ZIP 07107
  • Facility Phone: 973 484-3848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INDU MADHOK
  • NPI Number: 1750470209
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2017376
LAB Type Physician Office
Facility Name INDU MADHOK MD LLC
Street 156 ROSEVILLE AVENUE
City NEWARK
State NJ
ZIP 07107
Phone 973 484-3848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director INDU MADHOK

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