31D2082593 CLIA NUMBER - UNIVERSITY RADIOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 31D2082593
  • Facility Name: UNIVERSITY RADIOLOGY GROUP
  • Facility Address: 699 TEANECK ROAD
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 836-2500
  • Facility Type: Other - RADIOLOGY OFFICE
  • Facility Type: Waiver
  • Lab Director: DR. DAVID M. WALOR
  • NPI Number: 1104243377
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2082593
LAB Type Other - RADIOLOGY OFFICE
Facility Name UNIVERSITY RADIOLOGY GROUP
Street 699 TEANECK ROAD
City TEANECK
State NJ
ZIP 07666
Phone 201 836-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - RADIOLOGY OFFICE
Lab Director DR. DAVID M. WALOR

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