31D2093058 CLIA NUMBER - CARDIOVASCULAR CARE GROUP

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Laboratory Demographics

CLIA Number: 31D2093058

Facility Name: CARDIOVASCULAR CARE GROUP

Facility Address:
1401 BROAD STREET
CLIFTON, NJ
ZIP 07013
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Facility Phone Number: 973 759-9000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831262997

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	31D2093058
LAB Type	Physician Office
Facility Name	CARDIOVASCULAR CARE GROUP
Street	1401 BROAD STREET
City	CLIFTON
State	NJ
ZIP	07013
Phone	973 759-9000
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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