31D2130267 CLIA NUMBER - ROBERT MMEREOLE, LLC

Laboratory Demographics

  • CLIA Code: 31D2130267
  • Facility Name: ROBERT MMEREOLE, LLC
  • Facility Address: 6101 KENNEDY BOULEVARD E, SUITE#1
    WEST NEW YORK, NJ
    ZIP 07093
  • Facility Phone: 201 448-2804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT MMEREOLE
  • NPI Number: 1669615308
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2130267
LAB Type Physician Office
Facility Name ROBERT MMEREOLE, LLC
Street 6101 KENNEDY BOULEVARD E, SUITE#1
City WEST NEW YORK
State NJ
ZIP 07093
Phone 201 448-2804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director ROBERT MMEREOLE

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