31D2167776 CLIA NUMBER - GUILLERMO ORTIZ, MD

Laboratory Demographics

  • CLIA Code: 31D2167776
  • Facility Name: GUILLERMO ORTIZ, MD
  • Facility Address: 249 SOUTH MAIN STREET
    WHARTON, NJ
    ZIP 07885
  • Facility Phone: 973 361-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUILLERMO ORTIZ
  • NPI Number: 1407828445
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 31D2167776
LAB Type Physician Office
Facility Name GUILLERMO ORTIZ, MD
Street 249 SOUTH MAIN STREET
City WHARTON
State NJ
ZIP 07885
Phone 973 361-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director GUILLERMO ORTIZ

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