31D2111115 CLIA NUMBER - EXCELSIOR DIAGNOSTIC LAB

Laboratory Demographics

  • CLIA Code: 31D2111115
  • Facility Name: EXCELSIOR DIAGNOSTIC LAB
  • Facility Address: 12 SNOW HILL ST SUITE NO 6
    SPOTSWOOD, NJ
    ZIP 08884
  • Facility Phone: 732 422-7358
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: QIANG XIE
  • NPI Number: 1902250186
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 31D2111115
LAB Type Independent
Facility Name EXCELSIOR DIAGNOSTIC LAB
Street 12 SNOW HILL ST SUITE NO 6
City SPOTSWOOD
State NJ
ZIP 08884
Phone 732 422-7358
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Independent
Lab Director QIANG XIE

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