31D2045477 CLIA NUMBER - ADEKUNLE G ADEOTI, MD

Laboratory Demographics

  • CLIA Code: 31D2045477
  • Facility Name: ADEKUNLE G ADEOTI, MD
  • Facility Address: 134 EVERGREEN PLACE, SUITE 812
    EAST ORANGE, NJ
    ZIP 07018
  • Facility Phone: 973 676-1920
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ADEKUNLE G. ADEOTI
  • NPI Number: 1740259639
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D2045477
LAB Type Practitioner Other
Facility Name ADEKUNLE G ADEOTI, MD
Street 134 EVERGREEN PLACE, SUITE 812
City EAST ORANGE
State NJ
ZIP 07018
Phone 973 676-1920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Practitioner Other
Lab Director ADEKUNLE G. ADEOTI

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