31D2135088 CLIA NUMBER - OPHTHALMOLOGY NJ, LLC

Laboratory Demographics

CLIA Number: 31D2135088

Facility Name: OPHTHALMOLOGY NJ, LLC

Facility Address:
400 VALLEY ROAD SUITE 106
MOUNT ARLINGTON, NJ
ZIP 07856
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Facility Phone Number: 973 584-4451

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346293735

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 31D2135088
LAB Type Physician Office
Facility Name OPHTHALMOLOGY NJ, LLC
Street 400 VALLEY ROAD SUITE 106
City MOUNT ARLINGTON
State NJ
ZIP 07856
Phone 973 584-4451
CertificateType 4
CertificateEffectiveDate 8/15/2023
CertificateExpirationDate 8/14/2025
FacilityType Waiver

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