31D2131515 CLIA NUMBER - ST JOSEPH'S PRIMARY CARE AT GLEN RIDGE

Laboratory Demographics

  • CLIA Code: 31D2131515
  • Facility Name: ST JOSEPH'S PRIMARY CARE AT GLEN RIDGE
  • Facility Address: 123 HIGHLAND AVE SUITE 302
    GLEN RIDGE, NJ
    ZIP 07028
  • Facility Phone: 973 569-6430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARPITA SURI
  • NPI Number: 1114396835
  • Taxonomy: 103G00000X - Clinical Neuropsychologist

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CLIA Record

Field Name Field Value
CLIA Number 31D2131515
LAB Type Physician Office
Facility Name ST JOSEPH'S PRIMARY CARE AT GLEN RIDGE
Street 123 HIGHLAND AVE SUITE 302
City GLEN RIDGE
State NJ
ZIP 07028
Phone 973 569-6430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director ARPITA SURI

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