31D2077017 CLIA NUMBER - AVANTIC MEDICAL LAB

Laboratory Demographics

  • CLIA Code: 31D2077017
  • Facility Name: AVANTIC MEDICAL LAB
  • Facility Address: 3880 PARK AVENUE
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 732 474-1120
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. EDWARD S. LIU
  • NPI Number: 1972094423
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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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
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Independent
Lab Director DR. EDWARD S. LIU

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