31D2076189 CLIA NUMBER - FLORHAM PARK MULTISPECIALTY

Laboratory Demographics

  • CLIA Code: 31D2076189
  • Facility Name: FLORHAM PARK MULTISPECIALTY
  • Facility Address: 222 COLUMBIA TURNPIKE
    FLORHAM PARK, NJ
    ZIP 07932
  • Facility Phone: 973 322-6888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SU WANG
  • NPI Number: 1073646212
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2076189
LAB Type Physician Office
Facility Name FLORHAM PARK MULTISPECIALTY
Street 222 COLUMBIA TURNPIKE
City FLORHAM PARK
State NJ
ZIP 07932
Phone 973 322-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director SU WANG

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