31D2032906 CLIA NUMBER - JEFFREY B WISE, MD, FACS

Laboratory Demographics

  • CLIA Code: 31D2032906
  • Facility Name: JEFFREY B WISE, MD, FACS
  • Facility Address: 1680 RT 23 SUITE 120
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 305-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY B. WISE
  • NPI Number: 1760698716
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 31D2032906
LAB Type Physician Office
Facility Name JEFFREY B WISE, MD, FACS
Street 1680 RT 23 SUITE 120
City WAYNE
State NJ
ZIP 07470
Phone 973 305-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director JEFFREY B. WISE

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