31D2136408 CLIA NUMBER - SUMMIT MEDICAL GROUP DBA CITYMD

Laboratory Demographics

  • CLIA Code: 31D2136408
  • Facility Name: SUMMIT MEDICAL GROUP DBA CITYMD
  • Facility Address: 461 RIVER ROAD
    EDGEWATER, NJ
    ZIP 07020
  • Facility Phone: 551 313-0170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL FROGEL
  • NPI Number: 1811561657
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2136408
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP DBA CITYMD
Street 461 RIVER ROAD
City EDGEWATER
State NJ
ZIP 07020
Phone 551 313-0170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DANIEL FROGEL

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