31D2112181 CLIA NUMBER - CITY MEDICAL OF NEW JERSEY, PC

Laboratory Demographics

CLIA Number: 31D2112181

Facility Name: CITY MEDICAL OF NEW JERSEY, PC

Facility Address:
231 WASHINGTON STREET
HOBOKEN, NJ
ZIP 07030
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Facility Phone Number: 201 754-1005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639547375

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2112181
LAB Type	Physician Office
Facility Name	CITY MEDICAL OF NEW JERSEY, PC
Street	231 WASHINGTON STREET
City	HOBOKEN
State	NJ
ZIP	07030
Phone	201 754-1005
CertificateType	4
CertificateEffectiveDate	4/25/2024
CertificateExpirationDate	4/24/2026
FacilityType	Waiver

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