31D2134373 CLIA NUMBER - CITY MEDICAL OF NEW JERSEY, PC

Laboratory Demographics

CLIA Number: 31D2134373

Facility Name: CITY MEDICAL OF NEW JERSEY, PC

Facility Address:
904 BAYONNE CROSSING WAY
BAYONNE, NJ
ZIP 07002
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Facility Phone Number: 551 497-5675

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215488952

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2134373
LAB Type	Physician Office
Facility Name	CITY MEDICAL OF NEW JERSEY, PC
Street	904 BAYONNE CROSSING WAY
City	BAYONNE
State	NJ
ZIP	07002
Phone	551 497-5675
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

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