31D2122803 CLIA NUMBER - CITY MEDICAL OF NEW JERSEY, PC

Laboratory Demographics

CLIA Number: 31D2122803

Facility Name: CITY MEDICAL OF NEW JERSEY, PC

Facility Address:
2317 CENTER ISLAND, ROUTE 22
UNION, NJ
ZIP 07083
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Facility Phone Number: 201 354-1951

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528518776

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2122803
LAB Type	Physician Office
Facility Name	CITY MEDICAL OF NEW JERSEY, PC
Street	2317 CENTER ISLAND, ROUTE 22
City	UNION
State	NJ
ZIP	07083
Phone	201 354-1951
CertificateType	4
CertificateEffectiveDate	12/6/2022
CertificateExpirationDate	12/5/2024
FacilityType	Waiver

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