31D2055252 CLIA NUMBER - ORTHO NJ LLC

Laboratory Demographics

  • CLIA Code: 31D2055252
  • Facility Name: ORTHO NJ LLC
  • Facility Address: 1139 RARITAN ROAD, SUITE 202
    CLARK, NJ
    ZIP 07066
  • Facility Phone: 732 388-1761
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATHANIEL SUTAIN
  • NPI Number: 1184977068
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D2055252
LAB Type Physician Office
Facility Name ORTHO NJ LLC
Street 1139 RARITAN ROAD, SUITE 202
City CLARK
State NJ
ZIP 07066
Phone 732 388-1761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director NATHANIEL SUTAIN

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