31D2052697 CLIA NUMBER - DE LUCIA ADVANCE PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 31D2052697
  • Facility Name: DE LUCIA ADVANCE PRACTICE LLC
  • Facility Address: 7617 KENNEDY BLVD
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 201 854-1500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAUREN M. DE LUCIA
  • NPI Number: 1194061879
  • Taxonomy: 363LA2100X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2052697
LAB Type Practitioner Other
Facility Name DE LUCIA ADVANCE PRACTICE LLC
Street 7617 KENNEDY BLVD
City NORTH BERGEN
State NJ
ZIP 07047
Phone 201 854-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Practitioner Other
Lab Director LAUREN M. DE LUCIA

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