31D2152441 CLIA NUMBER - CITY LIFE CLINICS NJ, PC

Laboratory Demographics

  • CLIA Code: 31D2152441
  • Facility Name: CITY LIFE CLINICS NJ, PC
  • Facility Address: 44 JONES STREET
    NEWARK, NJ
    ZIP 07103
  • Facility Phone: 267 819-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLY ANN PENNYCOOKE
  • NPI Number: 1437649845
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2152441
LAB Type Physician Office
Facility Name CITY LIFE CLINICS NJ, PC
Street 44 JONES STREET
City NEWARK
State NJ
ZIP 07103
Phone 267 819-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director SHELLY ANN PENNYCOOKE

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