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31D2077017 CLIA NUMBER - AVANTIC MEDICAL LAB

Laboratory Demographics

CLIA Number: 31D2077017

Facility Name: AVANTIC MEDICAL LAB

Facility Address:
3880 PARK AVENUE
EDISON, NJ
ZIP 08820
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Facility Phone Number: 732 474-1120

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1972094423

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 31D2077017
LAB Type Independent
Facility Name AVANTIC MEDICAL LAB
Street 3880 PARK AVENUE
City EDISON
State NJ
ZIP 08820
Phone 732 474-1120
CertificateType 1
CertificateEffectiveDate 10/11/2022
CertificateExpirationDate 10/10/2024
FacilityType Accreditation

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