31D2078768 CLIA NUMBER - PASSAIC PRIMARY CARE PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 31D2078768
  • Facility Name: PASSAIC PRIMARY CARE PHYSICIANS, LLC
  • Facility Address: 140 PASSAIC AVENUE, FIRST FLOOR
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: 973 777-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISHAK G. SOLIMAN
  • NPI Number: 1497955561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2078768
LAB Type Physician Office
Facility Name PASSAIC PRIMARY CARE PHYSICIANS, LLC
Street 140 PASSAIC AVENUE, FIRST FLOOR
City PASSAIC
State NJ
ZIP 07055
Phone 973 777-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director ISHAK G. SOLIMAN

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