31D2158201 CLIA NUMBER - UNION OB/GYN AND INFERTILITY GROUP

Laboratory Demographics

  • CLIA Code: 31D2158201
  • Facility Name: UNION OB/GYN AND INFERTILITY GROUP
  • Facility Address: 1323 STUYVESANT AVENUE
    UNION, NJ
    ZIP 07083
  • Facility Phone: 908 686-4334
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DARYL K. BOFFARD
  • NPI Number: 1689840555
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D2158201
LAB Type Physician Office
Facility Name UNION OB/GYN AND INFERTILITY GROUP
Street 1323 STUYVESANT AVENUE
City UNION
State NJ
ZIP 07083
Phone 908 686-4334
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director DARYL K. BOFFARD

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This page was last updated on: 3/20/2025