31D2068840 CLIA NUMBER - NJ CERTIFIED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 31D2068840
  • Facility Name: NJ CERTIFIED DERMATOLOGY
  • Facility Address: 1141 MANTUA PIKE
    MANTUA, NJ
    ZIP 08051
  • Facility Phone: 732 456-7777
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CONRAD BENEDETTO
  • NPI Number: 1003263807
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2068840
LAB Type Physician Office
Facility Name NJ CERTIFIED DERMATOLOGY
Street 1141 MANTUA PIKE
City MANTUA
State NJ
ZIP 08051
Phone 732 456-7777
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director CONRAD BENEDETTO

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