31D2154429 CLIA NUMBER - BMG EAST ORANGE LLC

Laboratory Demographics

  • CLIA Code: 31D2154429
  • Facility Name: BMG EAST ORANGE LLC
  • Facility Address: 200 FREEWAY DRIVE EAST SUITE 305
    EAST ORANGE, NJ
    ZIP 07018
  • Facility Phone: 973 818-4240
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Waiver
  • Lab Director: MAGDY MAHMOUD
  • NPI Number: 1659882082
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2154429
LAB Type Other - URGENT CARE CENTER
Facility Name BMG EAST ORANGE LLC
Street 200 FREEWAY DRIVE EAST SUITE 305
City EAST ORANGE
State NJ
ZIP 07018
Phone 973 818-4240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - URGENT CARE CENTER
Lab Director MAGDY MAHMOUD

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