31D2140887 CLIA NUMBER - ETHEL DIAGNOSTIC LABORATORY

Laboratory Demographics

  • CLIA Code: 31D2140887
  • Facility Name: ETHEL DIAGNOSTIC LABORATORY
  • Facility Address: 4 ETHEL ROAD SUITE 402A
    EDISON, NJ
    ZIP 08817
  • Facility Phone: 732 902-6968
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: SONGLING LIANG
  • NPI Number: 1437704905
  • Taxonomy: 207ZP0101X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 31D2140887
LAB Type Independent
Facility Name ETHEL DIAGNOSTIC LABORATORY
Street 4 ETHEL ROAD SUITE 402A
City EDISON
State NJ
ZIP 08817
Phone 732 902-6968
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Independent
Lab Director SONGLING LIANG

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