31D2059077 CLIA NUMBER - ENDOCRINOLOGY T&S

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Laboratory Demographics

CLIA Number: 31D2059077

Facility Name: ENDOCRINOLOGY T&S

Facility Address:
515 N WOOD AVENUE SUITE 302
LINDEN, NJ
ZIP 07036
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Facility Phone Number: 908 925-3300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962756304

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	31D2059077
LAB Type	Physician Office
Facility Name	ENDOCRINOLOGY T&S
Street	515 N WOOD AVENUE SUITE 302
City	LINDEN
State	NJ
ZIP	07036
Phone	908 925-3300
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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