31D2137518 CLIA NUMBER - DAN V SANDRU MD LLC

Laboratory Demographics

  • CLIA Code: 31D2137518
  • Facility Name: DAN V SANDRU MD LLC
  • Facility Address: 389 NORTH COUNTY LINE ROAD
    JACKSON, NJ
    ZIP 08527
  • Facility Phone: 908 330-7463
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAN V. SANDRU
  • NPI Number: 1548442031
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2137518
LAB Type Physician Office
Facility Name DAN V SANDRU MD LLC
Street 389 NORTH COUNTY LINE ROAD
City JACKSON
State NJ
ZIP 08527
Phone 908 330-7463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director DAN V. SANDRU

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