31D2168838 CLIA NUMBER - NU-MD UROLOGY PC

Laboratory Demographics

  • CLIA Code: 31D2168838
  • Facility Name: NU-MD UROLOGY PC
  • Facility Address: 201 S LIVINGSTON AVENUE, 2F
    LIVINGSTON, NJ
    ZIP 07039
  • Facility Phone: 206 291-4269
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVALYN E. DECAMBRE
  • NPI Number: 1578117628
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D2168838
LAB Type Physician Office
Facility Name NU-MD UROLOGY PC
Street 201 S LIVINGSTON AVENUE, 2F
City LIVINGSTON
State NJ
ZIP 07039
Phone 206 291-4269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director MARVALYN E. DECAMBRE

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