31D2031787 CLIA NUMBER - BOONTON MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 31D2031787
  • Facility Name: BOONTON MEDICAL ASSOCIATES
  • Facility Address: 223 W MAIN STREET
    BOONTON, NJ
    ZIP 07005
  • Facility Phone: 973 335-8656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED SALEM
  • NPI Number: 1003196858
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2031787
LAB Type Physician Office
Facility Name BOONTON MEDICAL ASSOCIATES
Street 223 W MAIN STREET
City BOONTON
State NJ
ZIP 07005
Phone 973 335-8656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director MOHAMMED SALEM

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