31D2074010 CLIA NUMBER - PCN MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 31D2074010
  • Facility Name: PCN MEDICAL GROUP, LLC
  • Facility Address: 221 WEST GRAND AVENUE
    MONTVALE, NJ
    ZIP 07645
  • Facility Phone: 201 746-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELA WOJNARSKA-ALVAREZ
  • NPI Number: 1063834711
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2074010
LAB Type Physician Office
Facility Name PCN MEDICAL GROUP, LLC
Street 221 WEST GRAND AVENUE
City MONTVALE
State NJ
ZIP 07645
Phone 201 746-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director GABRIELA WOJNARSKA-ALVAREZ

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