31D2045477 CLIA NUMBER - ADEKUNLE G ADEOTI, MD

Home > CLIA Lookup > 31D2045477

Laboratory Demographics

CLIA Number: 31D2045477

Facility Name: ADEKUNLE G ADEOTI, MD

Facility Address:
134 EVERGREEN PLACE, SUITE 812
EAST ORANGE, NJ
ZIP 07018
Get Directions

Facility Phone Number: 973 676-1920

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1740259639

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	4
CertificateEffectiveDate	8/9/2023
CertificateExpirationDate	8/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024