31D2108627 CLIA NUMBER - JAMES E ROTOLO MD

Laboratory Demographics

  • CLIA Code: 31D2108627
  • Facility Name: JAMES E ROTOLO MD
  • Facility Address: 1696 RT 88 WEST
    BRICK, NJ
    ZIP 08724
  • Facility Phone: (732) 903-7655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES E. ROTOLO
  • NPI Number: 1588635916
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D2108627
LAB Type Physician Office
Facility Name JAMES E ROTOLO MD
Street 1696 RT 88 WEST
City BRICK
State NJ
ZIP 08724
Phone 7329037655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2026
Certificate Expiration Date 5/19/2028
Facility Type Physician Office
Lab Director JAMES E. ROTOLO

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This page was last updated on: 5/15/2026