31D2114503 CLIA NUMBER - SUMMIT MEDICAL GROUP DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2114503
  • Facility Name: SUMMIT MEDICAL GROUP DBA CITYMD
  • Facility Address: 1825 ROUTE 35
    WALL, NJ
    ZIP 07719
  • Facility Phone: 732 280-2600
  • Facility Type: Other - URGENT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: DANIEL FROGEL
  • NPI Number: 1740854587
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2114503
LAB Type Other - URGENT CARE FACILITY
Facility Name SUMMIT MEDICAL GROUP DBA CITYMD
Street 1825 ROUTE 35
City WALL
State NJ
ZIP 07719
Phone 732 280-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Other - URGENT CARE FACILITY
Lab Director DANIEL FROGEL

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