31D2121111 CLIA NUMBER - OB-GYN PROFESSIONAL CARE LLC

Laboratory Demographics

  • CLIA Code: 31D2121111
  • Facility Name: OB-GYN PROFESSIONAL CARE LLC
  • Facility Address: 1187 MAIN AVENUE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 862 247-8440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CATALINA DINA
  • NPI Number: 1487078648
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D2121111
LAB Type Physician Office
Facility Name OB-GYN PROFESSIONAL CARE LLC
Street 1187 MAIN AVENUE
City CLIFTON
State NJ
ZIP 07011
Phone 862 247-8440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director CATALINA DINA

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