31D2139631 CLIA NUMBER - DR MIRIC NEUROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 31D2139631
  • Facility Name: DR MIRIC NEUROLOGY CENTER
  • Facility Address: 35 W MAIN STREET, SUITE 103
    DENVILLE, NJ
    ZIP 07834
  • Facility Phone: 973 625-0858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SLOBODAN MIRIC
  • NPI Number: 1346417409
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D2139631
LAB Type Physician Office
Facility Name DR MIRIC NEUROLOGY CENTER
Street 35 W MAIN STREET, SUITE 103
City DENVILLE
State NJ
ZIP 07834
Phone 973 625-0858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director SLOBODAN MIRIC

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